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

Mind Body and Soul LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1508325366

Mind Body and Soul LLC is an Addiction (Substance Use Disorder) Counselor in Las Vegas, Nevada. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1405 San Juan Hills Dr Unit 105
Las Vegas, NV 89134-6390
Phone: (770) 341-4402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1508325366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Carson — Ceo · (770) 364-4402
NPI enumeratedMarch 19, 2019
Last updated in NPPESMarch 19, 2019
Mailing address1405 San Juan Hills Dr Unit 105, Las Vegas, NV 89134-6390

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