Organization
ROOTS AND BLOOM LV PSYCHIATRY PLLC
Active
Other names
Roots and Bloom LV Psychiatry PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACLYN PRELL PMHNP-BC (CEO)
(702) 375-3668
Entity
Organization
Contact information
Practice address
10655 PARK RUN DR STE 210, LAS VEGAS, NV 89144-4590
(702) 375-3668
(707) 745-0988
Mailing address
2009 MARBLE GORGE DR, LAS VEGAS, NV 89117-5955
(702) 375-3668
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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