Active NPI
Strong Minds Addiction & Recovery Therapy LLC
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1386144566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- STRONG MINDS ADDICTION & RECOVERY THERAPY LLC
- Doing business as
- Strong Mind Institute
- Practice address
- 4580 S Eastern Ave Ste 30
Las Vegas, NV 89119-6100 - Phone
- (702) 708-2559
- Fax
- (702) 213-8783
- NPI assigned
- Feb 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Dunlap
- Title
- Managing Member
- Phone
- (702) 708-2559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4580 S Eastern Ave Ste 30
Las Vegas, NV 89119-6100
Mailing address
2675 S Jones Blvd
Suite 102
Las Vegas, NV 89146
Phone (702) 951-9751
Other names 1
- Strong Mind Institute
National Provider Directory
National Provider Directory- Tax ID family
- Strong Mind Institute
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1750906079
Locations
4580 S Eastern Ave
Ste 30
Las Vegas, NV 89119
Phone (702) 305-1415
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Practitioner
- Las Vegas, NV
- NPI 1740597715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685404800000",
"number": "1386144566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 S JONES BLVD",
"address_2": "SUITE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89146",
"telephone_number": "702-951-9751",
"fax_number": "702-825-2584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4580 S EASTERN AVE STE 30",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196100",
"telephone_number": "702-708-2559",
"fax_number": "702-213-8783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRONG MINDS ADDICTION & RECOVERY THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-14",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A",
"authorized_official_last_name": "DUNLAP",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "702-708-2559"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Strong Mind Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 30, 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.