Organization
SUMMERLIN SERENITY P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN SHAMON LICSW, LCSW (CLINICAL DIRECTOR)
(209) 568-5346
Entity
Organization
Contact information
Practice address
8044 REDBUD VINE ST, NORTH LAS VEGAS, NV 89085-4455
(702) 556-9891
Mailing address
8044 REDBUD VINE ST, NORTH LAS VEGAS, NV 89085-4455
(702) 556-9891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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