| Macayla Powell | |
|
2020 Gault Ct North Las Vegas NV 89032-0614 | |
| (702) 351-9094 | |
| Not Available |
| Full Name | Macayla Powell |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2020 Gault Ct, North Las Vegas, Nevada |
| Authorized Official Name and Position | Macayla B Powell (BASIC SKILLS TRAINER) |
| Authorized Official Contact | 7023519094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macayla Powell 2020 Gault Ct. North Las Vegas NV 89032 Ph: (702) 351-9094 | Macayla Powell 2020 Gault Ct North Las Vegas NV 89032-0614 Ph: (702) 351-9094 |
| NPI Number | 1083035588 |
|---|---|
| Provider Enumeration Date | 12/31/2013 |
| Last Update Date | 12/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083035588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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