| Pahrump's Diversified Wellness Center Llc | |
|
2780 Homestead Rd Pahrump NV 89048-5399 | |
| (702) 818-3138 | |
| Not Available |
| Full Name | Pahrump's Diversified Wellness Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2780 Homestead Rd, Pahrump, Nevada |
| Authorized Official Name and Position | Akilah Bennett (OWNER) |
| Authorized Official Contact | 7029199210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pahrump's Diversified Wellness Center Llc 2780 Homestead Rd Pahrump NV 89048-5399 Ph: (702) 818-3138 | Pahrump's Diversified Wellness Center Llc 2780 Homestead Rd Pahrump NV 89048-5399 Ph: (702) 818-3138 |
| NPI Number | 1801428420 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 02/11/2020 |
| Certification Date | 02/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801428420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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