Organization
XEN MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE M SHIELDS (CEO)
(702) 328-6286
Entity
Organization
Contact information
Practice address
4570 S EASTERN AVE # C27, LAS VEGAS, NV 89119-6183
(702) 328-6286
Mailing address
10741 NOBLE MESA AVE, LAS VEGAS, NV 89166-5106
(702) 328-6286
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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