Miracle Minds Therapy LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MIRACLE MINDS THERAPY LLC

Doing business as

Miracle Minds Therapy

Practice address

4485 S Buffalo Dr # C
Las Vegas, NV 89147-5006

Phone

(702) 280-7203

Fax

(702) 450-1891

NPI assigned

Apr 23, 2024

Last updated

Apr 23, 2024By 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

Ashok Mirchandani

Title

Ceo

Phone

(702) 280-7203

Specialties & licenses 1

Addresses

Other names 1

• Miracle Minds Therapy Doing business as

Tax ID family

Miracle Minds Therapy2 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.

• Miracle Minds Therapy LLC

  dba Miracle Minds Therapy

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1952167793
  NPD tax ID

Locations

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1922853738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 S BUFFALO DR # C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475006",
            "telephone_number": "702-280-7203",
            "fax_number": "702-450-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 S BUFFALO DR # C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475006",
            "telephone_number": "702-280-7203",
            "fax_number": "702-450-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MINDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "MIRCHANDANI",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-280-7203"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Minds Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miracle Hands Personal Home Care (Miracle hands preffered health care)
• Miracle Hands Personal Home Care
• Miracle Hands Personal Home Care LLC
• Miracle Hospice Care, Inc.
• Miracle Minds BHS
• Miracle Minds Therapy LLC (Miracle Minds Therapy)
• Leidy Desired Miracle
• Miracles Behavior Health Services
• Miraculous Massage Therapist LLC
• Candy Nicolas Miraflor, RN

• Multi-Specialty Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Multi-Specialty Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.