Organization
REVITACARE HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYIESHA ARMSTRONG-DUNMORE (OWNER)
(702) 366-4674
Entity
Organization
Contact information
Practice address
1951 STELLA LAKE ST STE 26, LAS VEGAS, NV 89106-2144
(702) 366-4674
Mailing address
2600 S TOWN CENTER DR APT 2134, LAS VEGAS, NV 89135-2081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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