Revitacare Health Centers | |
1951 Stella Lake St Ste 26 Las Vegas NV 89106-2144 | |
(702) 366-4674 | |
Not Available |
Full Name | Revitacare Health Centers |
---|---|
Speciality | Counselor - Mental Health |
Location | 1951 Stella Lake St Ste 26, Las Vegas, Nevada |
Authorized Official Name and Position | Myiesha Armstrong-dunmore (OWNER) |
Authorized Official Contact | 7023664674 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Revitacare Health Centers 2600 S Town Center Dr Apt 2134 Las Vegas NV 89135-2081 Ph: () - | Revitacare Health Centers 1951 Stella Lake St Ste 26 Las Vegas NV 89106-2144 Ph: (702) 366-4674 |
NPI Number | 1548080005 |
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Provider Enumeration Date | 10/10/2024 |
Last Update Date | 10/10/2024 |
Certification Date | 10/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548080005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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