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Organization
NEW VISION, 'LLC'
Active
Organization
NEW VISION, 'LLC'
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE R ELLINGTON (OWNER)
(678) 933-1883
Entity
Organization
Contact information
Practice address
2475 W CHEYENNE AVE, 170, NORTH LAS VEGAS, NV 89032-4327
(678) 933-1883
Mailing address
5945 PALMILLA ST, 10, NORTH LAS VEGAS, NV 89031-4140
(678) 933-1883
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NV
101YM0800X
Mental Health Counselor
—
NV
101YP1600X
Pastoral Counselor
—
NV
101YP2500X
Professional Counselor
—
NV
102X00000X
Poetry Therapist
—
NV
103G00000X
Clinical Neuropsychologist
—
NV
103K00000X
Behavior Analyst
Primary
—
NV
103T00000X
Psychologist
—
NV
103TB0200X
Cognitive & Behavioral Psychologist
—
NV
103TC2200X
Clinical Child & Adolescent Psychologist
—
NV
103TE1100X
Exercise & Sports Psychologist
—
NV
103TP0016X
Prescribing (Medical) Psychologist
—
NV
103TP2701X
Group Psychotherapy Psychologist
—
NV
1041S0200X
School Social Worker
—
NV
106H00000X
Marriage & Family Therapist
—
NV
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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