| Mlc Therapy Llc | |
|
810 Fireweed Dr Henderson NV 89002-9105 | |
| (913) 562-8880 | |
| (702) 445-6075 |
| Full Name | Mlc Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 810 Fireweed Dr, Henderson, Nevada |
| Authorized Official Name and Position | Marie L Cook (DIRECTOR) |
| Authorized Official Contact | 9135628880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlc Therapy Llc 810 Fireweed Drive Henderson NV 89002 Ph: (913) 562-8880 | Mlc Therapy Llc 810 Fireweed Dr Henderson NV 89002-9105 Ph: (913) 562-8880 |
| NPI Number | 1154840247 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154840247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4509 (Kansas) | Primary |
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