| The Lifeology Center Pllc | |
|
8430 W Lake Mead Blvd Ste 100 Las Vegas NV 89128-7674 | |
| (702) 403-0745 | |
| Not Available |
| Full Name | The Lifeology Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8430 W Lake Mead Blvd Ste 100, Las Vegas, Nevada |
| Authorized Official Name and Position | David Brownstein (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7024030745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lifeology Center Pllc 8430 W Lake Mead Blvd Ste 100 Las Vegas NV 89128-7674 Ph: (702) 403-0745 | The Lifeology Center Pllc 8430 W Lake Mead Blvd Ste 100 Las Vegas NV 89128-7674 Ph: (702) 403-0745 |
| NPI Number | 1962119255 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Medicare PECOS PAC ID | 7416328836 |
|---|---|
| Medicare Enrollment ID | O20230123002343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962119255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | David Y Brownstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740691385 PECOS PAC ID: 1254555931 Enrollment ID: I20200504002929 |
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