National Provider Identifier
Mindful Illumination Counseling LLC
Mindful Illumination Counseling LLC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Las Vegas, NV and a listed phone number of (702) 744-7350.
Source: public NPPES record, last updated February 04, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1558953190
- Provider Type
- Organization
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- February 04, 2021
- Last Updated
- February 04, 2021
Practice Location
- 1334 S Maryland Pkwy Ste 2
- Las Vegas, NV 89104-3310
Phone: (702) 744-7350
Authorized Official
- Name
- Mr. Chiante Jemison
- Title
- Owner
- Credentials
- M.S., PSY, LADC
- Phone
- (702) 744-7350
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Organization Overview
Mindful Illumination Counseling, LLC, also known as Mindful Illumination Counseling, is a Las Vegas, Nevada counseling organization led by Dr. Chiante’ Josiah Jemison, an Army veteran and Nevada-licensed counselor. The practice describes its work as mental health and substance use counseling offered in person or at home, with individualized treatment planning and optional faith-informed counseling. Its stated services include family therapy, trauma-sensitive yoga, and court-ordered or professional evaluation services.
Full Record
- NPI
- 1558953190
- Entity Type
- Organization
- Organization Name
- Mindful Illumination Counseling LLC
- Mailing Street Address
- 1334 S Maryland Pkwy Ste 2
- Mailing City
- Las Vegas
- Mailing State
- NV
- Mailing ZIP Code
- 89104-3310
- Mailing Country
- US
- Mailing Phone
- (702) 744-7350
- Practice Street Address
- 1334 S Maryland Pkwy Ste 2
- Practice City
- Las Vegas
- Practice State
- NV
- Practice ZIP Code
- 89104-3310
- Practice Country
- US
- Practice Phone
- (702) 744-7350
- Practice Fax
- (702) 359-6585
- Enumeration Date
- February 04, 2021
- Last Updated
- February 04, 2021
- Authorized Official Last Name
- Jemison
- Authorized Official First Name
- Chiante
- Authorized Official Title
- Owner
- Authorized Official Phone
- (702) 744-7350
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Authorized Official Credential Text
- M.S., PSY, LADC
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- February 04, 2021
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)