Organization
ALTA WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO SUAREZ (OWNER)
(702) 365-0600
Entity
Organization
Contact information
Practice address
153 W LAKE MEAD PKWY STE 3110, HENDERSON, NV 89015-8006
(702) 365-0060
(702) 365-0602
Mailing address
1027 S RAINBOW BLVD # 270, LAS VEGAS, NV 89145-6232
(702) 365-0060
(702) 365-0602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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