Organization
AYURVEDA WELLNESS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA L MARINO (OWNER)
(702) 637-5198
Entity
Organization
Contact information
Practice address
4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103-6802
(702) 637-5198
Mailing address
1027 S RAINBOW BLVD # 203, LAS VEGAS, NV 89145-6232
(702) 637-5198
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
11/05/2024
Last updated
01/21/2025
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