| American Grace Wellness Center Llc | |
|
3925 North Martin Luther King Blvd Suite #212 North Las Vegas NV 89032-7673 | |
| (702) 444-2335 | |
| (702) 992-3505 |
| Full Name | American Grace Wellness Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3925 North Martin Luther King Blvd, North Las Vegas, Nevada |
| Authorized Official Name and Position | Jacqueline B Glasper-sattwhite (CEO) |
| Authorized Official Contact | 7024440235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Grace Wellness Center Llc 3925 North Martin Luther King Blvd Suite #212 North Las Vegas NV 89032-7673 Ph: (702) 444-2335 | American Grace Wellness Center Llc 3925 North Martin Luther King Blvd Suite #212 North Las Vegas NV 89032-7673 Ph: (702) 444-2335 |
| NPI Number | 1760190136 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 11/14/2022 |
| Certification Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760190136 | NPI | - | NPPES |
| 9028-C | Other | NV | NEVADA SOCIAL WORK BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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