Heavenly Mind LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HEAVENLY MIND LLC

Practice address

5821 Alisa Roberts St
North Las Vegas, NV 89081-4410

Phone

(760) 539-6205

NPI assigned

Jun 7, 2023

Last updated

Jun 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Gutierrez Villegas

Title

Owner

Phone

(760) 539-6205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1811681232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 ALISA ROBERTS ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814410",
            "telephone_number": "760-539-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 ALISA ROBERTS ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814410",
            "telephone_number": "760-539-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ VILLEGAS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-539-6205"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dawn Heberling, MSW
• Brionna Heilig
• Jasmine Alejandra Heim
• Emily Ann Brune Heinsen, DO
• Hellena Walker

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

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