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Organization
KINGDOM WELLNESS LLC
Active
Organization
KINGDOM WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EXECUTIVE DIRECTOR (EXECUTIVE DIRECTOR)
(702) 485-3403
Entity
Organization
Contact information
Practice address
3909 S MARYLAND PKWY STE 408, LAS VEGAS, NV 89119-7526
(702) 485-3403
Mailing address
3909 S MARYLAND PKWY STE 408, LAS VEGAS, NV 89119-7526
(702) 485-3403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
01/26/2022
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