Mind Evolution LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIND EVOLUTION LLC

Practice address

5306 Sandstone Dr
Las Vegas, NV 89142-0156

Phone

(702) 673-7048

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

Aracelis Avile RedondoNPI 1801597489

Title

Manager

Phone

(702) 673-7048

Specialties & licenses 1

Addresses

Other names 1

• Mind Evolution LLC Former legal business name

Practitioners 1

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

• Aracelis Avile Redondo

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1801597489
  NPD Authorized official

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": "1710688122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 SANDSTONE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891420156",
            "telephone_number": "702-673-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 SANDSTONE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891420156",
            "telephone_number": "702-673-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND EVOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "AVILE REDONDO",
        "authorized_official_first_name": "ARACELIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-673-7048"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Evolution LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mind Body and Soul LLC
• Mind Body and Sports Connection
• Mind Body Solutions Physical Therapy, LLC
• Mind Bridget LLC
• Mind Changers Behavioral Services
• Mind Full Praxis
• Mind Health and Wellness LLC
• Mind Heart and Soul Behavior Counseling & Wellness Group
• Mind Matters, PLLC
• Mind Over Matters LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) 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.