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Organization

SIMPLE LIFE FAVOR

Active
Other names
Simple life Favor
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN RENEE MASON LMFT (CEO)
(702) 810-9226
Entity
Organization

Contact information

Practice address
420 S JONES BLVD, LAS VEGAS, NV 89107-2658
(702) 810-9226
Mailing address
7250 S DURANGO DR STE 130, LAS VEGAS, NV 89113-2255
(028) 109-2267

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NV20201734239
NV
Enumeration date
11/02/2022
Last updated
11/02/2022
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