# XYZ HOLISTIC THERAPY PROF LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** XYZ Holistic Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669046421
- **Authorized official:** TINA MERCED LCSW (OWNER)
- **Authorized official phone:** (702) 497-5308

## Contact information

- **Practice address:** 2920 N GREEN VALLEY PKWY STE 314, HENDERSON, NV 89014-0412
- **Practice address phone:** (312) 999-8462
- **Mailing address:** 2354 BELVEDERE DR, HENDERSON, NV 89014-3657
- **Mailing address phone:** (702) 497-5308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2021
- **Last updated:** 05/17/2021