| Temple Of The Lord Outreach Ministries Inc. | |
|
94 Ancient Hills Ln Henderson NV 89074-1750 | |
| (702) 682-9225 | |
| Not Available |
| Full Name | Temple Of The Lord Outreach Ministries Inc. |
|---|---|
| Speciality | Counselor |
| Location | 94 Ancient Hills Ln, Henderson, Nevada |
| Authorized Official Name and Position | Dennis Gray (PRESIDENT) |
| Authorized Official Contact | 7026829225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temple Of The Lord Outreach Ministries Inc. Po Box 94091 Las Vegas NV 89193-4091 Ph: (702) 682-9225 | Temple Of The Lord Outreach Ministries Inc. 94 Ancient Hills Ln Henderson NV 89074-1750 Ph: (702) 682-9225 |
| NPI Number | 1629322367 |
|---|---|
| Provider Enumeration Date | 11/02/2012 |
| Last Update Date | 11/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629322367 | NPI | - | NPPES |
| 1740564699 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | NV20051605735 (Nevada) | Primary |
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