| Aspire Therapeutic Solutions Llc | |
|
1017 E Basin Ave 3 Pahrump NV 89060-4532 | |
| (775) 751-0444 | |
| (775) 440-6876 |
| Full Name | Aspire Therapeutic Solutions Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1017 E Basin Ave, Pahrump, Nevada |
| Authorized Official Name and Position | Clinton Zens (OWNER) |
| Authorized Official Contact | 7757510444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Therapeutic Solutions Llc 1017 E Basin Ave 3 Pahrump NV 89060-4532 Ph: () - | Aspire Therapeutic Solutions Llc 1017 E Basin Ave 3 Pahrump NV 89060-4532 Ph: (775) 751-0444 |
| NPI Number | 1003353392 |
|---|---|
| Provider Enumeration Date | 01/24/2017 |
| Last Update Date | 03/10/2017 |
| Medicare PECOS PAC ID | 5294010377 |
|---|---|
| Medicare Enrollment ID | O20170403001315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003353392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20171046442 (Nevada) | Primary |
| Provider Name | Katherine F Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841264082 PECOS PAC ID: 5193719458 Enrollment ID: I20040419000167 |
| Provider Name | Roger A Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295764892 PECOS PAC ID: 1850388893 Enrollment ID: I20160328001058 |
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