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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