| Growthspring Counseling And Wellness Llc | |
|
2775 S Jones Blvd Suite 101 Las Vegas NV 89146-5631 | |
| (702) 685-3300 | |
| Not Available |
| Full Name | Growthspring Counseling And Wellness Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2775 S Jones Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Havi Mandell (OWNER) |
| Authorized Official Contact | 7026853300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growthspring Counseling And Wellness Llc 2775 S Jones Blvd Suite 101 Las Vegas NV 89146-5631 Ph: (702) 685-3300 | Growthspring Counseling And Wellness Llc 2775 S Jones Blvd Suite 101 Las Vegas NV 89146-5631 Ph: (702) 685-3300 |
| NPI Number | 1417267469 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/08/2010 |
| Medicare PECOS PAC ID | 2264612951 |
|---|---|
| Medicare Enrollment ID | O20110214000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417267469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5276-C (Nevada) | Primary |
| Provider Name | Havi B Mandell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255529897 PECOS PAC ID: 5193809994 Enrollment ID: I20080402000236 |
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