| Elevated Brain Techs, Llc | |
|
2915 Cedar Ave Unit 4d Las Vegas NV 89101-3831 | |
| (702) 806-5198 | |
| Not Available |
| Full Name | Elevated Brain Techs, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2915 Cedar Ave Unit 4d, Las Vegas, Nevada |
| Authorized Official Name and Position | Louie Daniel Taquiqui (OWNER) |
| Authorized Official Contact | 7028065198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Brain Techs, Llc 3566 Tundra Swan St Las Vegas NV 89122-3501 Ph: (702) 806-5198 | Elevated Brain Techs, Llc 2915 Cedar Ave Unit 4d Las Vegas NV 89101-3831 Ph: (702) 806-5198 |
| NPI Number | 1801308655 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 11/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801308655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20171436936 (Nevada) | Primary |
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