Organization
PERSIA THE PSYCH NP LLC
Active
Other names
Persia Coleman
Organization subpart
No
Provider details
NPI number
Authorized official
PERSIA COLEMAN APRN (OWNER)
(702) 848-5520
Entity
Organization
Contact information
Practice address
5510 S FORT APACHE RD, LAS VEGAS, NV 89148-7700
(702) 848-5520
Mailing address
5510 S FORT APACHE RD, LAS VEGAS, NV 89148-7700
(702) 848-5520
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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