Organization
TEAM CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA POOLE (CREDENTIALING SPECIALIST)
(702) 278-3919
Entity
Organization
Contact information
Practice address
1716 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89012-5003
(702) 209-6339
Mailing address
8923 LA MANGA AVE, LAS VEGAS, NV 89147-6022
(702) 209-6339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
10/15/2021
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