# CRISIS CARE AND LIFE ENHANCEMENT CENTER LLC

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

## Provider details

- **NPI number:** 1639998263
- **Authorized official:** ANTWONE OWENS SR. (OWNER)
- **Authorized official phone:** (725) 293-1333

## Contact information

- **Practice address:** 800 N RAINBOW BLVD STE 120, LAS VEGAS, NV 89107-1190
- **Practice address phone:** (702) 966-7340
- **Mailing address:** 800 N RAINBOW BLVD STE 120, LAS VEGAS, NV 89107-1190
- **Mailing address phone:** (702) 966-7340

## Taxonomy

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