Organization
SHMA SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL KAI BRASS LCSW (OWNER/CLINICAL DIRECTOR)
(702) 325-6845
Entity
Organization
Contact information
Practice address
7495 W AZURE DR STE 247, LAS VEGAS, NV 89130-4416
(702) 766-6258
(702) 984-7221
Mailing address
PO BOX 752182, LAS VEGAS, NV 89136-2182
(702) 325-6845
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/07/2023
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