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Organization
NUEVA VIDA MENTAL HEALTH LLC
Active
Organization
NUEVA VIDA MENTAL HEALTH LLC
Active
Other names
NVMH
Organization subpart
No
Provider details
NPI number
Authorized official
MARYSOL REZANOV (MENTAL HEALTH THERAPIST)
(702) 659-8827
Entity
Organization
Contact information
Practice address
4170 S DECATUR BLVD STE C1, LAS VEGAS, NV 89103-5863
(702) 659-8827
(702) 852-0984
Mailing address
4170 S DECATUR BLVD STE C1, LAS VEGAS, NV 89103-5863
(702) 659-8827
(702) 852-0984
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6215-C
NV
Other
Enumeration date
09/10/2012
Last updated
02/27/2025
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