| Renewed Balance | |
|
4345 Hatch Bend Ave N Las Vegas NV 89031-4302 | |
| (702) 419-0311 | |
| Not Available |
| Full Name | Renewed Balance |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4345 Hatch Bend Ave, N Las Vegas, Nevada |
| Authorized Official Name and Position | Linnetta R Cooley (CEO/OWNER) |
| Authorized Official Contact | 7024190311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Balance 4345 Hatch Bend Ave N Las Vegas NV 89031-4302 Ph: (702) 419-0311 | Renewed Balance 4345 Hatch Bend Ave N Las Vegas NV 89031-4302 Ph: (702) 419-0311 |
| NPI Number | 1407506207 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407506207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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