Organization
MY THERAPY FE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD LACEY ROSS JR. MFT (OPERATION MANAGER / OWNER)
(702) 808-9668
Entity
Organization
Contact information
Practice address
7341 W CHARLESTON BLVD, SUITE #130, LAS VEGAS, NV 89117
(725) 780-4488
Mailing address
6201 EVENSAIL DR, LAS VEGAS, NV 89156-6967
(702) 808-9668
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/17/2019
Last updated
10/18/2021
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