Organization
ENLIGHTENMENT, LLC
Active
Organization
ENLIGHTENMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK VICTORINO GOMEZ PMHNP-BC (OWNER)
(702) 471-8182
Entity
Organization
Contact information
Practice address
2110 E FLAMINGO RD STE 100, LAS VEGAS, NV 89119-5191
(725) 331-1100
(725) 331-1200
Mailing address
9013 BONANZA PEAK CT, LAS VEGAS, NV 89178-9330
(725) 331-1100
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/07/2024
Last updated
02/12/2026
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