Organization
RESTORATION AND RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIVELLE NUNEZ-RUCKER LMFT, CADC-I (OWNER)
(702) 750-9387
Entity
Organization
Contact information
Practice address
7495 W AZURE DR STE 246, LAS VEGAS, NV 89130-4436
(702) 302-4288
(702) 790-2570
Mailing address
6120 SKOKIE COURT, LAS VEGAS, NV 89130
(702) 374-8500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01316-INTERN
NV
101YM0800X
Mental Health Counselor
Primary
01306
NV
207R00000X
Internal Medicine Physician
6766
NV
Other
Enumeration date
04/03/2015
Last updated
10/16/2024
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