| Mountain Vista Wellness Group Llc | |
|
1953 Bayhurst Ave North Las Vegas NV 89031-0751 | |
| (708) 537-6511 | |
| Not Available |
| Full Name | Mountain Vista Wellness Group Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1953 Bayhurst Ave, North Las Vegas, Nevada |
| Authorized Official Name and Position | Kelvin Anderson (OWNER) |
| Authorized Official Contact | 7085376511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Vista Wellness Group Llc 1953 Bayhurst Ave North Las Vegas NV 89031-0751 Ph: (708) 537-6511 | Mountain Vista Wellness Group Llc 1953 Bayhurst Ave North Las Vegas NV 89031-0751 Ph: (708) 537-6511 |
| NPI Number | 1407417348 |
|---|---|
| Provider Enumeration Date | 06/21/2019 |
| Last Update Date | 06/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407417348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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