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Organization
ANGEL HEART BEHAVIOR HEALTH LLC
Active
Organization
ANGEL HEART BEHAVIOR HEALTH LLC
Active
Parent organization
ANGEL HEART BEHAVIOR HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGEL HEART BEHAVIOR HEALTH LLC
Authorized official
MS. LATASHA CONWAY-HANKSTON (CHIEF EXECUTIVE OFFICER)
(702) 846-2686
Entity
Organization
Contact information
Practice address
2551 S FORT APACHE RD STE 101, LAS VEGAS, NV 89117-8700
(702) 846-2686
Mailing address
2551 S FORT APACHE RD STE 101, LAS VEGAS, NV 89117-8700
(702) 846-2686
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
03/12/2018
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