# LIGHT LOVE QUANTUM HEALING CENTER LLC

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

## Provider details

- **NPI number:** 1215782206
- **Authorized official:** COLLEEN PILAR THOMPSON LCSW (OWNER)
- **Authorized official phone:** (775) 388-1682

## Contact information

- **Practice address:** 1042 COMMERCIAL ST, ELKO, NV 89801-3948
- **Practice address phone:** (775) 441-9998
- **Mailing address:** 647 SPRUCE RD, ELKO, NV 89801-4535
- **Mailing address phone:** (775) 441-9998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2024
- **Last updated:** 04/22/2024
