Positive Mind Support Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

POSITIVE MIND SUPPORT SERVICES LLC

Practice address

2225 E Flamingo Rd Ste 200
Las Vegas, NV 89119-5127

Phone

(702) 809-4396

NPI assigned

Apr 17, 2023

Organization subpart

No

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

Authorized official

Name

Silvestre Dagale

Title

Manager

Phone

(725) 286-9202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1104512706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E FLAMINGO RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195127",
            "telephone_number": "702-809-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E FLAMINGO RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195127",
            "telephone_number": "702-809-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE MIND SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-15",
        "status": "A",
        "authorized_official_last_name": "DAGALE",
        "authorized_official_first_name": "SILVESTRE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "725-286-9202"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.