Organization
VICTORIOUS BEGINNINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICHOLE P HENDERSON MFT-INTERN (MFT-INTERN)
(702) 278-3622
Entity
Organization
Contact information
Practice address
6365 SIMMONS ST, NORTH LAS VEGAS, NV 89031-7292
(702) 278-3622
Mailing address
6365 SIMMONS, NORTH LAS VEAS, NV 89031
(702) 278-3622
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MI0366
NV
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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