Organization
SIMPLE LIFE SOLUTIONS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA SHANNON (OWNER)
(702) 858-6455
Entity
Organization
Contact information
Practice address
6069 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5579
(702) 858-6455
Mailing address
PO BOX 401501, LAS VEGAS, NV 89140-1501
(702) 858-6455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275937252
—
NV
Enumeration date
05/22/2019
Last updated
05/22/2019
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