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Organization
PERSIA THE PSYCH NP LLC
Active
Organization
PERSIA THE PSYCH NP LLC
Active
Other names
Persia Coleman
Organization subpart
No
Provider details
NPI number
Authorized official
PERSIA COLEMAN APRN (OWNER)
(702) 848-5520
Entity
Organization
Contact information
Practice address
5510 S FORT APACHE RD, LAS VEGAS, NV 89148-7700
(702) 848-5520
Mailing address
5510 S FORT APACHE RD, LAS VEGAS, NV 89148-7700
(702) 848-5520
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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