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Organization
BEAUTIFUL MOON HEALTH & WELLNESS, LLC
Active
Organization
BEAUTIFUL MOON HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAVONNI HENDERSON LMSW (OWNER/CEO)
(510) 256-9794
Entity
Organization
Contact information
Practice address
6935 ALIANTE PKWY STE 104-217, NORTH LAS VEGAS, NV 89084-5818
(510) 256-9794
Mailing address
6935 ALIANTE PKWY STE 104-217, NORTH LAS VEGAS, NV 89084-5818
(510) 256-9794
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NULL
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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