Organization
VIRGIN VALLEY MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID TAYLOR LCSW (PRESIDENT)
(702) 807-3289
Entity
Organization
Contact information
Practice address
736 W PIONEER BLVD STE 108, MESQUITE, NV 89027-8890
(702) 807-3289
Mailing address
157 PEBBLE CREEK HTS, MESQUITE, NV 89027-5323
(702) 807-3289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881903581
—
NV
Enumeration date
07/25/2022
Last updated
09/20/2022
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