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Organization

LIFE GATEWAY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY THORNTON (MANAGER)
(702) 521-7495
Entity
Organization

Contact information

Practice address
10467 MOUNT MITCHELL CT, LAS VEGAS, NV 89149-0907
(702) 752-9274
Mailing address
10046 FLINK CREEK ST, LAS VEGAS, NV 89178-5566
(702) 521-7495

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/31/2024
Last updated
10/31/2024
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