Organization
EPIPHANY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CARSON (CO OWNER)
(702) 577-7295
Entity
Organization
Contact information
Practice address
7465 W LAKE MEAD BLVD STE 100, LAS VEGAS, NV 89128-1033
(702) 577-7295
Mailing address
2203 JARDINE AVE, N LAS VEGAS, NV 89032-0642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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