# DAWN STARKS-BALL DBA NEW LIFE THERAPY

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

## Provider details

- **NPI number:** 1790339356
- **Authorized official:** MRS. KRISTA HUEY BSHCA (CREDENTIALING MANAGER)
- **Authorized official phone:** (702) 528-9947

## Contact information

- **Practice address:** 5135 CAMINO AL NORTE STE 264, N LAS VEGAS, NV 89031-2419
- **Practice address phone:** (702) 853-6731
- **Practice address fax:** (720) 247-1226
- **Mailing address:** 5135 CAMINO AL NORTE STE 264, N LAS VEGAS, NV 89031-2419
- **Mailing address phone:** (702) 853-6731
- **Mailing address fax:** (720) 247-1226

## Taxonomy

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

## Other

- **Enumeration date:** 07/31/2019
- **Last updated:** 07/31/2019