SERENITY MIND SPA NPI 1265930549

NPI Information

NPI: 1265930549
Provider Name: SERENITY MIND SPA
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
7495 W AZURE DR STE 237
LAS VEGAS, NV
ZIP 89130
Phone: (702) 680-9350
Get Directions

SERENITY MIND SPA is a professional counselor in Las Vegas, NV. SERENITY MIND SPA NPI is 1265930549. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7495 W AZURE DR STE 237
LAS VEGAS, NV
ZIP 89130-437
Phone: (702) 680-9350

The provider's authorized official is La Toya Williams .
The authorized official title is Cpc-i and has the following contact phone number (702) 680-9350.

The enumeration date for this NPI number is 2/1/2018 and was last updated on 6/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	101YP2500X	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1871897967	MEDICAID	NEVADA
2	15982110047	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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