Organization
LIFE EMPOWERMENT CENTER OF NEVADA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN CLARK (MANAGER)
(702) 582-7369
Entity
Organization
Contact information
Practice address
2660 S RAINBOW BLVD STE A101, LAS VEGAS, NV 89146-5183
(702) 582-7369
(866) 211-2764
Mailing address
8275 S EASTERN AVE STE 200, LAS VEGAS, NV 89123-2545
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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