Organization
PRO-HEALTH THERAPEUTIC & EMPOWERMENT SERVICES LLC
Active
Other names
Pro-Health Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA GRAHAM (OPERATIONS)
(702) 490-9009
Entity
Organization
Contact information
Practice address
2755 E DESERT INN RD STE 260, LAS VEGAS, NV 89121-3690
(702) 490-9009
(866) 737-6147
Mailing address
2620 S MARYLAND PKWY # 14-199, LAS VEGAS, NV 89109-8300
(702) 490-9009
(866) 737-6147
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015873316
—
NV
05
—
1063780500
—
NV
Enumeration date
02/02/2014
Last updated
11/30/2024
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