Individual
ELANTRA FEAZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4225 MIDDLESEX AVE APT B, LAS VEGAS, NV 89110-5761
(702) 904-5299
Mailing address
4225 MIDDLESEX AVE APT B, LAS VEGAS, NV 89110-5761
(702) 904-5299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/20/2023
Last updated
05/23/2023
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