| Half Moon Mental Health And Wellness | |
|
4955 S Durango Dr Ste 157 Las Vegas NV 89113-0154 | |
| (702) 234-2926 | |
| Not Available |
| Full Name | Half Moon Mental Health And Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4955 S Durango Dr Ste 157, Las Vegas, Nevada |
| Authorized Official Name and Position | Alexis Enterline (OWNER) |
| Authorized Official Contact | 7022342926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Half Moon Mental Health And Wellness 7236 Boyd Ln Las Vegas NV 89131-2502 Ph: (702) 234-2926 | Half Moon Mental Health And Wellness 4955 S Durango Dr Ste 157 Las Vegas NV 89113-0154 Ph: (702) 234-2926 |
| NPI Number | 1073294062 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073294062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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