| Porch Light Llc | |
|
6263 W Twain Ave Las Vegas NV 89103-1153 | |
| (443) 449-9034 | |
| Not Available |
| Full Name | Porch Light Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6263 W Twain Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Lori Campbell (THERAPIST) |
| Authorized Official Contact | 4434499034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Porch Light Llc 6263 W Twain Ave Las Vegas NV 89103-1153 Ph: (443) 449-9034 | Porch Light Llc 6263 W Twain Ave Las Vegas NV 89103-1153 Ph: (443) 449-9034 |
| NPI Number | 1124645999 |
|---|---|
| Provider Enumeration Date | 06/28/2020 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124645999 | NPI | - | NPPES |
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