Organization
MENDED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI MOSLEY LMFT (TREASURER)
(702) 551-9380
Entity
Organization
Contact information
Practice address
6797 CONQUISTADOR ST, LAS VEGAS, NV 89149-1315
(702) 551-9380
Mailing address
6720 N HUALAPAI WAY STE 145-255, LAS VEGAS, NV 89149-1371
(702) 551-9380
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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