Provider Demographics
NPI:1518383892
Name:CLEAR MINDS LLC
Entity Type:Organization
Organization Name:CLEAR MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTORNEY
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:IARUSSI
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:702-473-9640
Mailing Address - Street 1:3636 LAS VEGAS BLVD N
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-1555
Mailing Address - Country:US
Mailing Address - Phone:702-776-8397
Mailing Address - Fax:702-643-6509
Practice Address - Street 1:3636 LAS VEGAS BLVD N
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-1555
Practice Address - Country:US
Practice Address - Phone:702-776-8397
Practice Address - Fax:702-643-6509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20141094855251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health