Organization
LISA A DURETTE MD PLLC
Active
Other names
Healthy Minds
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH MCKAY PH.D. (CEO)
(702) 419-8920
Entity
Organization
Contact information
Practice address
6600 W CHARLESTON BLVD STE 140, LAS VEGAS, NV 89146-1067
(702) 359-9404
(866) 518-0781
Mailing address
840 S RANCHO DR STE 4-337, LAS VEGAS, NV 89106-3837
(702) 440-8840
(866) 518-0781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669679205
—
NV
Enumeration date
06/28/2007
Last updated
11/21/2022
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