# OCEAN BREEZE CARE CENTER LLC

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

## Provider details

- **NPI number:** 1417738170
- **Authorized official:** LYNN KELLY (OWNER)
- **Authorized official phone:** (702) 473-0818

## Contact information

- **Practice address:** 4115 E COLORADO AVE, LAS VEGAS, NV 89104-5107
- **Practice address phone:** (702) 493-5998
- **Practice address fax:** (702) 552-9525
- **Mailing address:** 4115 E COLORADO AVE, LAS VEGAS, NV 89104-5107
- **Mailing address phone:** (725) 373-3732
- **Mailing address fax:** (702) 552-9525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 225C00000X | Rehabilitation Counselor | — | NULL | — |
| 225C00000X | Rehabilitation Counselor | — | — | — |

## Other

- **Enumeration date:** 10/09/2023
- **Last updated:** 01/26/2024