Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Body Mind and Wellness Clinic Incorporated

Organization Family Medicine Physician · NPI 1730995929

Body Mind and Wellness Clinic Incorporated provides Family Medicine Physician services 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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