Provider Demographics
NPI:1003620469
Name:CLEAR MIND HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:CLEAR MIND HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBAINA BREFF
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:702-713-5529
Mailing Address - Street 1:3430 E FLAMINGO RD STE 221
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5065
Mailing Address - Country:US
Mailing Address - Phone:702-713-5529
Mailing Address - Fax:
Practice Address - Street 1:3430 E FLAMINGO RD STE 221
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5065
Practice Address - Country:US
Practice Address - Phone:702-713-5529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty