Organization
ASCENDING MINDS LV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYDIAN WOOLERY (MANAGER)
(347) 517-9485
Entity
Organization
Contact information
Practice address
5510 S FORT APACHE RD STE 458, LAS VEGAS, NV 89148-7700
(347) 517-9485
Mailing address
5510 S FORT APACHE RD STE 458, LAS VEGAS, NV 89148-7700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/18/2023
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