Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Body Mind and Wellness Clinic Incorporated

Organization Family Medicine Physician · NPI 1730995929

Body Mind and Wellness Clinic Incorporated is a Family Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4

Practice location Address checks out

2810 W Charleston Blvd Ste 57
Las Vegas, NV 89102-1906
Phone: (702) 376-2485
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Psychiatry Physician Taxonomy 2084P0800X
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1730995929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivan Llanes — Owner And Director · (702) 376-2485
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address2810 W Charleston Blvd Ste 57, Las Vegas, NV 89102-1906

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