Provider Demographics
NPI:1114661881
Name:WEALTHY HEARTS AND MINDS LLC
Entity Type:Organization
Organization Name:WEALTHY HEARTS AND MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-699-6208
Mailing Address - Street 1:555 E SILVERADO RANCH BLVD UNIT 2025
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7209
Mailing Address - Country:US
Mailing Address - Phone:773-699-6208
Mailing Address - Fax:
Practice Address - Street 1:555 E SILVERADO RANCH BLVD UNIT 2025
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7209
Practice Address - Country:US
Practice Address - Phone:773-699-6208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health