Spirit & Mind Behavioral Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SPIRIT & MIND BEHAVIORAL SERVICES LLC

Practice address

2340 E Calvada Blvd Ste 4
Pahrump, NV 89048-5821

Phone

(702) 761-6567

NPI assigned

May 22, 2019

Organization subpart

Yes

Parent organization

SPIRIT & MIND BEHAVIORAL SERVICES, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Camille TaiwoNPI 1720595374

Title

Ceo

Phone

(702) 761-6567

Specialties & licenses 1

Addresses

Other names 1

• Spirit & Mind Behavioral Services, LLC Doing business as

Tax ID family

Spirit Mind Behavioral Services LLC2 organizations share this tax ID, including this one

Part of

Spirit Mind Behavioral Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spirit & Mind Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1780161349
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Spirit & Mind Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1780161349
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camille Taiwo, BS, MAT, MAEL

  • Community Health Worker
  • Las Vegas, NV
  • NPI 1720595374
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1083271340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 ARROYO CROSSING PKWY STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134088",
            "telephone_number": "702-761-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E CALVADA BLVD STE 4",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485821",
            "telephone_number": "702-761-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT & MIND BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPIRIT & MIND BEHAVIORAL SERVICES, LLC",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "TAIWO",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-761-6567"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spirit & Mind Behavioral Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.