Organization
A NEW START HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICRUZ RAND (ADMIN)
(702) 882-5969
Entity
Organization
Contact information
Practice address
353 E BONNEVILLE AVE UNIT 123, LAS VEGAS, NV 89101-6625
(702) 882-5969
Mailing address
PO BOX 72052, LAS VEGAS, NV 89170-2052
(702) 882-5969
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103K00000X
Behavior Analyst
Primary
1164832390
NV
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164832390
NPI
NV
01
—
1255698437
NPI
NV
01
—
1275833592
NPI
NV
01
—
1881780724
NPI
NV
Enumeration date
05/01/2014
Last updated
08/11/2014
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