Organization
LAS VEGAS WELLNESS COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JSHAUNTAE MARSHALL DOULA (MANAGING MEMBER)
(702) 337-4793
Entity
Organization
Contact information
Practice address
1230 W OWENS AVE STE 1, LAS VEGAS, NV 89106-2451
(702) 703-4881
Mailing address
8046 PAVAROTTI AVE, LAS VEGAS, NV 89178-8264
(702) 337-4793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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