Organization
ETERNITY HEALTH WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACONJA BROOKS (MANAGER)
(702) 272-9079
Entity
Organization
Contact information
Practice address
6332 LEGEND FALLS ST, NORTH LAS VEGAS, NV 89081-6621
(702) 272-9079
Mailing address
6332 LEGEND FALLS ST, NORTH LAS VEGAS, NV 89081-6621
(702) 272-9079
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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