Organization
SERENITY THERAPY LLC
Active
Other names
Kayenta Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA VANDE VOORT MFT (CEO)
(702) 878-0554
Entity
Organization
Contact information
Practice address
9414 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 878-0554
Mailing address
9414 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 878-0554
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193400000X
HEALTH CARE PROVIDER TAXONOMY CODE SET
—
Enumeration date
05/09/2014
Last updated
05/09/2014
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