# REVITACARE HEALTH CENTERS

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

## Provider details

- **NPI number:** 1548080005
- **Authorized official:** MYIESHA ARMSTRONG-DUNMORE (OWNER)
- **Authorized official phone:** (702) 366-4674

## Contact information

- **Practice address:** 1951 STELLA LAKE ST STE 26, LAS VEGAS, NV 89106-2144
- **Practice address phone:** (702) 366-4674
- **Mailing address:** 2600 S TOWN CENTER DR APT 2134, LAS VEGAS, NV 89135-2081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2024
- **Last updated:** 10/10/2024