| Purpose Driven Mental Healthcare | |
|
830 S Durango Dr Ste 100 Las Vegas NV 89145-2486 | |
| (702) 515-0294 | |
| Not Available |
| Full Name | Purpose Driven Mental Healthcare |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 830 S Durango Dr Ste 100, Las Vegas, Nevada |
| Authorized Official Name and Position | Marcus Roberts (OWNER) |
| Authorized Official Contact | 7025150294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Purpose Driven Mental Healthcare 3157 N Rainbow Blvd Ste 346 Las Vegas NV 89108-4578 Ph: (702) 515-0294 | Purpose Driven Mental Healthcare 830 S Durango Dr Ste 100 Las Vegas NV 89145-2486 Ph: (702) 515-0294 |
| NPI Number | 1457962698 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 09/07/2021 |
| Certification Date | 09/07/2021 |
| Medicare PECOS PAC ID | 1658737010 |
|---|---|
| Medicare Enrollment ID | O20230510001681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457962698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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