Organization
WALKBYFAITH LLC
Active
Other names
Resolutions Behavioral Health Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARLON LEON BLANKS LCSW (CLINICAL DIRECTOR)
(702) 462-1813
Entity
Organization
Contact information
Practice address
6655 W SAHARA AVE STE A112, LAS VEGAS, NV 89146-2805
(702) 462-1813
Mailing address
6655 W SAHARA AVE STE A112, LAS VEGAS, NV 89146-2805
(702) 462-1813
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487016887
TRICARE WEST
NV
05
—
1487016887
—
NV
Enumeration date
03/24/2016
Last updated
12/11/2018
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