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Organization
HALF MOON MENTAL HEALTH AND WELLNESS
Active
Organization
HALF MOON MENTAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS ENTERLINE LCSW (OWNER)
(702) 234-2926
Entity
Organization
Contact information
Practice address
4955 S DURANGO DR STE 157, LAS VEGAS, NV 89113-0154
(702) 234-2926
Mailing address
7236 BOYD LN, LAS VEGAS, NV 89131-2502
(702) 234-2926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
08/16/2023
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