Organization
LBR MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILEANA ROQUE LCSW (DIRECTOR/OWNER)
(702) 208-9080
Entity
Organization
Contact information
Practice address
2620 REGATTA DR STE 102, LAS VEGAS, NV 89128-6892
(702) 208-9080
Mailing address
2620 REGATTA DR STE 102, LAS VEGAS, NV 89128-6892
(702) 208-9080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
04/10/2024
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