Beach Therapy | |
3652 N Rancho Dr Suite 102 Las Vegas NV 89130-3178 | |
(702) 334-6162 | |
(702) 515-0660 |
Full Name | Beach Therapy |
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Speciality | Marriage & Family Therapist |
Location | 3652 N Rancho Dr, Las Vegas, Nevada |
Authorized Official Name and Position | Kelly Beach (OWNER) |
Authorized Official Contact | 7023346162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Beach Therapy 3652 N Rancho Dr Suite 102 Las Vegas NV 89130-3178 Ph: (702) 334-6162 | Beach Therapy 3652 N Rancho Dr Suite 102 Las Vegas NV 89130-3178 Ph: (702) 334-6162 |
NPI Number | 1316244981 |
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Provider Enumeration Date | 02/17/2011 |
Last Update Date | 01/12/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316244981 | NPI | - | NPPES |
100512262 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 01076 (Nevada) | Primary |
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