Organization
ANGEL HEART BEHAVIOR HEALTH LLC
Active
Organization
ANGEL HEART BEHAVIOR HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATASHA CONWAY-HANKSTON (CHIEF EXECUTIVE OFFICER)
(702) 846-2686
Entity
Organization
Contact information
Practice address
2551 S FORT APACHE RD STE 101, LAS VEGAS, NV 89117-8700
(702) 846-2686
Mailing address
2551 S FORT APACHE RD STE 101, LAS VEGAS, NV 89117-8700
(702) 846-2686
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
NV20161605181
NV
Other
Enumeration date
10/26/2016
Last updated
03/12/2018
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