Organization
KELLEY JOHNSON
Active
Organization
KELLEY JOHNSON
Active
Other names
Connecting The Dots Therapy Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY JOHNSON (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
3928 BAGUA CT, LAS VEGAS, NV 89129-7087
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV201911111296
BUSINESS LICENSE
NV
Enumeration date
06/11/2019
Last updated
07/18/2019
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