| 4 Your Soul Care, Llc | |
|
2283 Van Gogh Dr Henderson NV 89074-5031 | |
| (702) 888-2838 | |
| Not Available |
| Full Name | 4 Your Soul Care, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2283 Van Gogh Dr, Henderson, Nevada |
| Authorized Official Name and Position | Christopher Adams (OWNER / THERAPIST) |
| Authorized Official Contact | 7028882838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 Your Soul Care, Llc 2283 Van Gogh Dr Henderson NV 89074-5031 Ph: (702) 888-2838 | 4 Your Soul Care, Llc 2283 Van Gogh Dr Henderson NV 89074-5031 Ph: (702) 888-2838 |
| NPI Number | 1790412039 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 08/05/2022 |
| Certification Date | 08/05/2022 |
| Medicare PECOS PAC ID | 7618352782 |
|---|---|
| Medicare Enrollment ID | O20220912000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790412039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Christopher J Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336544261 PECOS PAC ID: 9234460783 Enrollment ID: I20191014003057 |
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