Organization Active NPI

Strong Minds Addiction & Recovery Therapy LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1386144566
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on May 30, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Strong Mind Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.