# ALTA WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134597370
- **Authorized official:** ROBERTO SUAREZ (OWNER)
- **Authorized official phone:** (702) 336-3460

## Contact information

- **Practice address:** 6655 W SAHARA AVE STE B200-138, LAS VEGAS, NV 89146-0842
- **Practice address phone:** (702) 336-3460
- **Mailing address:** 1027 S RAINBOW BLVD \# 270, LAS VEGAS, NV 89145-6232

## Taxonomy

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

## Other

- **Enumeration date:** 09/03/2015
- **Last updated:** 09/03/2015