Organization
NEVADA MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MARIANO HENRY (COO)
(702) 929-4796
Entity
Organization
Contact information
Practice address
3430 E FLAMINGO RD STE 106, LAS VEGAS, NV 89121-5003
(702) 929-4796
Mailing address
3430 E FLAMINGO RD STE 106, LAS VEGAS, NV 89121-5003
(702) 929-4796
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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