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Organization
ARTFUL LIVES
Active
Organization
ARTFUL LIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY JACKSON LCSW (MANAGING MEMBER)
(702) 268-9977
Entity
Organization
Contact information
Practice address
732 S 6TH ST # 4942, LAS VEGAS, NV 89101-6948
(702) 268-9977
Mailing address
732 S 6TH ST # 4942, LAS VEGAS, NV 89101-6948
(702) 268-9977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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