Provider Demographics
NPI:1497242291
Name:MENTORING THE MIND BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:MENTORING THE MIND BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:LA PARIS
Authorized Official - Last Name:HAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-470-9969
Mailing Address - Street 1:2350 S JONES BLVD STE 101D9
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3103
Mailing Address - Country:US
Mailing Address - Phone:702-214-2157
Mailing Address - Fax:
Practice Address - Street 1:2350 S JONES BLVD STE 101D9
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3103
Practice Address - Country:US
Practice Address - Phone:702-214-2157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)