RADIANT MINDS PSYCHIATRY LLC NPI 1275330755

NPI Information

  • NPI: 1275330755
  • Provider Name: RADIANT MINDS PSYCHIATRY LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 2905 LAKE EAST DR STE 110
    LAS VEGAS, NV
    ZIP 89117
  • Phone: (725) 577-5055

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NPI Details

RADIANT MINDS PSYCHIATRY LLC is a psychiatric/mental health nurse practitioner in Las Vegas, NV. RADIANT MINDS PSYCHIATRY LLC NPI is 1275330755. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2905 LAKE EAST DR STE 110
LAS VEGAS, NV
ZIP 89117-384
Phone: (725) 577-5055
Fax: (702) 405-8700

The provider's authorized official is Dawn Parnello .
The authorized official title is Owner and has the following contact phone number (702) 521-9227.

The enumeration date for this NPI number is 3/3/2025 and was last updated on 9/15/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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