Learn And Grow Nevada Llc | |
5135 Camino Al Norte Ste 254 North Las Vegas NV 89031-2389 | |
(702) 881-2468 | |
(702) 489-2317 |
Full Name | Learn And Grow Nevada Llc |
---|---|
Speciality | Community/Behavioral Health |
Location | 5135 Camino Al Norte Ste 254, North Las Vegas, Nevada |
Authorized Official Name and Position | Adaobi Gogo Nwakuche (OWNER) |
Authorized Official Contact | 7028812468 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Learn And Grow Nevada Llc 828 E Flamingo Rd Las Vegas NV 89119-7308 Ph: (702) 792-0665 | Learn And Grow Nevada Llc 5135 Camino Al Norte Ste 254 North Las Vegas NV 89031-2389 Ph: (702) 881-2468 |
NPI Number | 1841910809 |
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Provider Enumeration Date | 08/30/2022 |
Last Update Date | 08/30/2022 |
Certification Date | 08/30/2022 |
Medicare PECOS PAC ID | 6800243155 |
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Medicare Enrollment ID | O20231108003527 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841910809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Yvette P Howard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720423809 PECOS PAC ID: 9638426141 Enrollment ID: I20180716000121 |
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