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Organization
CRISIS CARE AND LIFE ENHANCEMENT CENTER LLC
Active
Organization
CRISIS CARE AND LIFE ENHANCEMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWONE OWENS SR. (OWNER)
(725) 293-1333
Entity
Organization
Contact information
Practice address
800 N RAINBOW BLVD STE 120, LAS VEGAS, NV 89107-1190
(702) 966-7340
Mailing address
800 N RAINBOW BLVD STE 120, LAS VEGAS, NV 89107-1190
(702) 966-7340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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