| Elevative Family Services Llc | |
|
6440 Starling Mesa St North Las Vegas NV 89086-1324 | |
| (702) 609-4314 | |
| Not Available |
| Full Name | Elevative Family Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6440 Starling Mesa St, North Las Vegas, Nevada |
| Authorized Official Name and Position | Anthony Zaire Egnor (OWNER/CO-CEO) |
| Authorized Official Contact | 7026094314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevative Family Services Llc 6440 Starling Mesa St North Las Vegas NV 89086-1324 Ph: (702) 609-4314 | Elevative Family Services Llc 6440 Starling Mesa St North Las Vegas NV 89086-1324 Ph: (702) 609-4314 |
| NPI Number | 1396416376 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 09/21/2021 |
| Certification Date | 09/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396416376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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