Organization
THE HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY JOHNSON LCSW (CO-OWNER)
(702) 810-8268
Entity
Organization
Contact information
Practice address
4455 S PECOS RD STE C, LAS VEGAS, NV 89121-5029
(702) 350-1430
Mailing address
4455 S PECOS RD STE C, LAS VEGAS, NV 89121-5029
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20191129258
BUSINESS LICENSE
NV
Enumeration date
05/28/2019
Last updated
05/28/2019
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