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Organization
SUPPORTIVE COMMUNITY SERVICES LLC
Active
Organization
SUPPORTIVE COMMUNITY SERVICES LLC
Active
Other names
Supportive Community Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NIESHA S. ALLEN (DIRECTOR)
(702) 526-4573
Entity
Organization
Contact information
Practice address
2432 W PEORIA AVE, PHOENIX, AZ 85029-4726
(702) 526-4573
(702) 202-1180
Mailing address
3454 WHITMAN FALLS DR, LAS VEGAS, NV 89129-6355
(702) 526-4573
(702) 202-1180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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