Organization
THE VALLEY WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE R ANDERSON (OWNER)
(702) 202-2449
Entity
Organization
Contact information
Practice address
7575 W WASHINGTON AVE STE 127187, LAS VEGAS, NV 89128-4333
(702) 202-2449
Mailing address
7575 W WASHINGTON AVE STE 127187, LAS VEGAS, NV 89128-4333
(702) 202-2449
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851819148
—
NV
Enumeration date
09/06/2017
Last updated
01/08/2019
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