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Organization
BEACH THERAPY
Active
Organization
BEACH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BEACH LMFT (OWNER)
(702) 334-6162
Entity
Organization
Contact information
Practice address
3652 N RANCHO DR, SUITE 102, LAS VEGAS, NV 89130-3178
(702) 334-6162
(702) 515-0660
Mailing address
3652 N RANCHO DR, SUITE 102, LAS VEGAS, NV 89130-3178
(702) 334-6162
(702) 515-0660
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01076
NV
Other
Enumeration date
02/17/2011
Last updated
01/12/2017
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