Provider Demographics
NPI:1285484311
Name:MINDSIGHTOLOGY THERAPY LLC
Entity type:Organization
Organization Name:MINDSIGHTOLOGY THERAPY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:ERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:714-922-0546
Mailing Address - Street 1:481 VIA PALERMO DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-0825
Mailing Address - Country:US
Mailing Address - Phone:714-922-0546
Mailing Address - Fax:657-333-9517
Practice Address - Street 1:481 VIA PALERMO DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-0825
Practice Address - Country:US
Practice Address - Phone:714-922-0546
Practice Address - Fax:657-333-9517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty