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Organization
ASPIRE WELLNESS LLC
Active
Organization
ASPIRE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANEICE LOCKETT (OWNER)
(702) 904-2819
Entity
Organization
Contact information
Practice address
3920 E PATRICK LN STE D, LAS VEGAS, NV 89120-3927
(702) 904-2819
Mailing address
5311 CHASE ST, NORTH LAS VEGAS, NV 89081-2667
(702) 904-2819
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
NULL
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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