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Organization
XYZ HOLISTIC THERAPY PROF LLC
Active
Organization
XYZ HOLISTIC THERAPY PROF LLC
Active
Other names
XYZ Holistic Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MERCED LCSW (OWNER)
(702) 497-5308
Entity
Organization
Contact information
Practice address
2920 N GREEN VALLEY PKWY STE 314, HENDERSON, NV 89014-0412
(312) 999-8462
Mailing address
2354 BELVEDERE DR, HENDERSON, NV 89014-3657
(702) 497-5308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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