Mind and Body Addiction Services

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MIND AND BODY ADDICTION SERVICES

Practice address

2655 S Rainbow Blvd Ste 110
Las Vegas, NV 89146-5100

Phone

(702) 353-5417

NPI assigned

Jan 23, 2019

Organization subpart

No

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

Authorized official

Name

Clarence Parrott

Title

Owner

Phone

(702) 353-5417

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1316401409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 S RAINBOW BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465100",
            "telephone_number": "702-353-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 S RAINBOW BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465100",
            "telephone_number": "702-353-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY ADDICTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "PARROTT",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-353-5417"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kevin Patrick Minchin
• Tanya Floriene Minck
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• Mind Body and Sports Connection

• Substance Abuse Rehabilitation Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Substance Abuse Rehabilitation Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.