Organization
DIVINE LOVE WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HARRIS (MANAGER)
(702) 217-7956
Entity
Organization
Contact information
Practice address
4020 SWIFT CREEK AVE, NORTH LAS VEGAS, NV 89031-3641
(702) 217-7956
Mailing address
4020 SWIFT CREEK AVE, NORTH LAS VEGAS, NV 89031-3641
(702) 217-7956
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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