# BROKENSHELLS WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brokenshells Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043030893
- **Authorized official:** JAZMINE SMITH MFT (OWNER)
- **Authorized official phone:** (404) 428-0019

## Contact information

- **Practice address:** 3895 QUADREL ST, LAS VEGAS, NV 89129-5507
- **Practice address phone:** (404) 428-0019
- **Mailing address:** 3895 QUADREL ST, LAS VEGAS, NV 89129-5507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2024
- **Last updated:** 10/16/2024