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Organization
ANGEL HEARTS MENTAL HEALTH
Active
Organization
ANGEL HEARTS MENTAL HEALTH
Active
Other names
Angel Hearts Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARSTEN LEIGH MERRICK (CEO)
(702) 767-0361
Entity
Organization
Contact information
Practice address
501 S RANCHO DR STE D19, LAS VEGAS, NV 89106-4832
(702) 767-0361
(702) 553-3484
Mailing address
501 S RANCHO DR STE D19, LAS VEGAS, NV 89106-4832
(702) 767-0361
(702) 553-3484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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