Stimulating Minds Behavioral Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STIMULATING MINDS BEHAVIORAL HEALTH, LLC

Practice address

3053 W Craig Rd Ste E-331
North Las Vegas, NV 89032-5124

Phone

(725) 977-8133

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Lakisha Latrice JohnsonNPI 1508308636

Title

Owner

Phone

(725) 977-8133

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lakisha L Johnson

  • Community Health Worker
  • North Las Vegas, NV
  • NPI 1508308636
  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703980800000",
    "number": "1235814294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 W CRAIG RD STE E-331",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325124",
            "telephone_number": "725-977-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 W CRAIG RD STE E-331",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325124",
            "telephone_number": "725-977-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STIMULATING MINDS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-977-8133"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph D Stewart, D.C
• Ramesha Stewart
• Sean Stewart
• Shawneen Stewart
• Kanjalia Latrice Stidhum, RDH
• Tikeish D Stone
• Nicole Stouder
• Maryann Stover
• Stephan Leo Stowers Jr.
• Erin J Straight

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, 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 Dec 31, 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.