| Embrace The Journey Llc | |
|
6955 N Durango Dr Unit 1004 Las Vegas NV 89149-4412 | |
| (702) 530-2612 | |
| Not Available |
| Full Name | Embrace The Journey Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6955 N Durango Dr Unit 1004, Las Vegas, Nevada |
| Authorized Official Name and Position | Wanda T White (MANAGING MEMBER) |
| Authorized Official Contact | 7025302612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace The Journey Llc 4117 Midnight Crest Ave North Las Vegas NV 89031-3742 Ph: (702) 530-2612 | Embrace The Journey Llc 6955 N Durango Dr Unit 1004 Las Vegas NV 89149-4412 Ph: (702) 530-2612 |
| NPI Number | 1861179186 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Medicare PECOS PAC ID | 6103260351 |
|---|---|
| Medicare Enrollment ID | O20240215004044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861179186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Wanda T White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750629945 PECOS PAC ID: 9739523986 Enrollment ID: I20240215004069 |
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