NPIMap

Organization Active NPI

Mind, Body and Soulnificent Behavior Healthcare Service

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1346750858
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIND, BODY AND SOULNIFICENT BEHAVIOR HEALTHCARE SERVICE
Practice address
3335 Hauck St Apt 1036
Las Vegas, NV 89146-8024
Phone
(725) 201-2727
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Authorized official

Name
Ms. Ruby Sole
Title
Owner
Phone
(725) 201-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X NV Primary

Addresses

Primary practice location

3335 Hauck St Apt 1036
Las Vegas, NV 89146-8024

Mailing address

3335 Hauck St Apt 1036
Las Vegas, NV 89146-8024
Phone (725) 201-2727

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1346750858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 HAUCK ST APT 1036",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468024",
            "telephone_number": "725-201-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 HAUCK ST APT 1036",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468024",
            "telephone_number": "725-201-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND, BODY AND SOULNIFICENT BEHAVIOR HEALTHCARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "SOLE",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-201-2727",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.