# ASPIRE WELLNESS LLC

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

## Provider details

- **NPI number:** 1306614177
- **Authorized official:** TANEICE LOCKETT (OWNER)
- **Authorized official phone:** (702) 904-2819

## Contact information

- **Practice address:** 3920 E PATRICK LN STE D, LAS VEGAS, NV 89120-3927
- **Practice address phone:** (702) 904-2819
- **Mailing address:** 5311 CHASE ST, NORTH LAS VEGAS, NV 89081-2667
- **Mailing address phone:** (702) 904-2819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 364SP0812X | Community Psychiatric/Mental Health Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2023
- **Last updated:** 12/12/2023