Organization
HALL MARKS THERAPY LTD
Active
Organization
HALL MARKS THERAPY LTD
Active
Other names
Healing Roots Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KAYCEE ISRAEL LCSW (MANAGER)
(702) 956-0993
Entity
Organization
Contact information
Practice address
3067 E WARM SPRINGS RD STE 100, LAS VEGAS, NV 89120
(702) 650-6508
(702) 472-8704
Mailing address
3067 E WARM SPRINGS RD STE 100, LAS VEGAS, NV 89120-3750
(702) 650-6508
(702) 472-8704
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104195544
—
NV
Enumeration date
01/19/2018
Last updated
08/20/2018
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