| Providing Hope Llc | |
|
4248 Thomas Patrick Ave N Las Vegas NV 89032-8941 | |
| (702) 287-0177 | |
| Not Available |
| Full Name | Providing Hope Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4248 Thomas Patrick Ave, N Las Vegas, Nevada |
| Authorized Official Name and Position | Lamar Bigby (PRESIDENT) |
| Authorized Official Contact | 7022870177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providing Hope Llc 4248 Thomas Patrick Ave N Las Vegas NV 89032-8941 Ph: () - | Providing Hope Llc 4248 Thomas Patrick Ave N Las Vegas NV 89032-8941 Ph: (702) 287-0177 |
| NPI Number | 1427398635 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 02/25/2013 |
| Medicare PECOS PAC ID | 0547607376 |
|---|---|
| Medicare Enrollment ID | O20240328000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427398635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Latosha Renee Brooks |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841590049 PECOS PAC ID: 5496191991 Enrollment ID: I20240328000858 |
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