ANGEL MINDS WELLNESS & BEHAVIORAL HEALTH LLC. NPI 1396387486

Counselor (Mental Health) in Las Vegas, NV

Organization Counselor Mental Health

About ANGEL MINDS WELLNESS & BEHAVIORAL HEALTH LLC.

Angel Minds Wellness & Behavioral Health Llc. is a provider established in Las Vegas, Nevada specializing in counselor. The NPI number of Angel Minds Wellness & Behavioral Health Llc. is 1396387486 and was assigned on October 2019. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated October 2019. Angel Minds Wellness & Behavioral Health Llc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jesus Corral (Administrator)

NPI

1396387486

Provider NameANGEL MINDS WELLNESS & BEHAVIORAL HEALTH LLC.
Provider Location Address800 N RAINBOW BLVD STE 137-138 LAS VEGAS, NV 89107
Provider Mailing Address800 N RAINBOW BLVD STE 137-138 LAS VEGAS, NV 89107
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-10-2019
Last Update Date10-10-2019

Primary Taxonomy

Taxonomy Code101YM0800X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health

Business Address

ANGEL MINDS WELLNESS & BEHAVIORAL HEALTH LLC.
800 N RAINBOW BLVD STE 137-138
LAS VEGAS, NV
ZIP 89107
Phone: (702) 271-7253

Get Directions

Mailing Address

ANGEL MINDS WELLNESS & BEHAVIORAL HEALTH LLC.
800 N RAINBOW BLVD STE 137-138
LAS VEGAS, NV
ZIP 89107
Phone: (702) 271-7253

Authorized Official

Authorized Official Name JESUS CORRAL
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(702) 271-7253

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Previous NPI
1396387478
Next NPI
1396387494