Renew Your Mind LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RENEW YOUR MIND LLC

Practice address

3256 Civic Center Dr
North Las Vegas, NV 89030-8101

Phone

(702) 824-6353

NPI assigned

Mar 13, 2023

Organization subpart

No

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

Authorized official

Name

Yanara Sarmiento Barriel

Title

Managing Member

Phone

(702) 824-6353

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1356042915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 CIVIC CENTER DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890308101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 CIVIC CENTER DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890308101",
            "telephone_number": "702-824-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW YOUR MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "SARMIENTO BARRIEL",
        "authorized_official_first_name": "YANARA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-824-6353"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.