Provider Demographics
NPI:1902272511
Name:HINDS, MONROE JR
Entity type:Individual
Prefix:
First Name:MONROE
Middle Name:
Last Name:HINDS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 N LAMB BLVD SPC 140
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-1346
Mailing Address - Country:US
Mailing Address - Phone:702-806-2745
Mailing Address - Fax:
Practice Address - Street 1:3430 E FLAMINGO RD STE 324
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5067
Practice Address - Country:US
Practice Address - Phone:702-749-3200
Practice Address - Fax:702-749-3202
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst