Organization
SERENITY MIND SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LA TOYA WILLIAMS QMHP (CPC-I)
(702) 680-9350
Entity
Organization
Contact information
Practice address
7495 W AZURE DR STE 237, LAS VEGAS, NV 89130-4437
(702) 680-9350
Mailing address
7495 W AZURE DR STE 237, LAS VEGAS, NV 89130-4437
(702) 680-9350
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
101YP2500X
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15982110047
—
NV
05
—
1871897967
—
NV
Enumeration date
02/01/2018
Last updated
06/11/2019
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