Organization
BENEVOLENCE COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE KELLY (OWNER)
(702) 493-5998
Entity
Organization
Contact information
Practice address
8685 W SAHARA AVE STE 180, LAS VEGAS, NV 89117-5880
(702) 493-5998
Mailing address
3877 BAYAMON ST, LAS VEGAS, NV 89129-6428
(702) 493-5998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
08/01/2024
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