Provider Demographics
NPI:1154995082
Name:RESTING MINDS LLC
Entity type:Organization
Organization Name:RESTING MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WADSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:702-410-9629
Mailing Address - Street 1:4623 W DESERT INN RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-7116
Mailing Address - Country:US
Mailing Address - Phone:702-410-9629
Mailing Address - Fax:702-410-9644
Practice Address - Street 1:4623 W DESERT INN RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-7116
Practice Address - Country:US
Practice Address - Phone:702-410-9629
Practice Address - Fax:702-410-9644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-15
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1710316716Medicaid
NV1194024752Medicaid
FL1558636522Medicaid
NV1457928863Medicaid