| My Therapy Fe, Llc | |
|
7341 W Charleston Blvd Suite #130 Las Vegas NV 89117 | |
| (725) 780-4488 | |
| Not Available |
| Full Name | My Therapy Fe, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7341 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Leonard Lacey Ross (OPERATION MANAGER / OWNER) |
| Authorized Official Contact | 7028089668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Therapy Fe, Llc 6201 Evensail Dr Las Vegas NV 89156-6967 Ph: (702) 808-9668 | My Therapy Fe, Llc 7341 W Charleston Blvd Suite #130 Las Vegas NV 89117 Ph: (725) 780-4488 |
| NPI Number | 1013567585 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013567585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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