# BEACH THERAPY

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

## Provider details

- **NPI number:** 1316244981
- **Authorized official:** KELLY BEACH LMFT (OWNER)
- **Authorized official phone:** (702) 334-6162

## Contact information

- **Practice address:** 3652 N RANCHO DR, SUITE 102, LAS VEGAS, NV 89130-3178
- **Practice address phone:** (702) 334-6162
- **Practice address fax:** (702) 515-0660
- **Mailing address:** 3652 N RANCHO DR, SUITE 102, LAS VEGAS, NV 89130-3178
- **Mailing address phone:** (702) 334-6162
- **Mailing address fax:** (702) 515-0660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 01076 | NV | Yes |

## Other

- **Enumeration date:** 02/17/2011
- **Last updated:** 01/12/2017