Organization
HALF MOON MENTAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS ENTERLINE LCSW (OWNER)
(702) 234-2926
Entity
Organization
Contact information
Practice address
4955 S DURANGO DR STE 157, LAS VEGAS, NV 89113-0154
(702) 234-2926
Mailing address
7236 BOYD LN, LAS VEGAS, NV 89131-2502
(702) 234-2926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
08/16/2023
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