Organization
NEVADA PRIME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIAGNE ARIELLE DUAVE (MANAGING MEMBER)
(702) 588-1938
Entity
Organization
Contact information
Practice address
3340 TOPAZ ST, LAS VEGAS, NV 89121-3903
(702) 588-1938
Mailing address
3340 TOPAZ ST, LAS VEGAS, NV 89121-3903
(702) 588-1938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
06/09/2021
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