| Renewing Life Center | |
|
3243 E Warm Springs Rd Suite 100 Las Vegas NV 89120-3185 | |
| (702) 434-7290 | |
| (702) 434-6940 |
| Full Name | Renewing Life Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3243 E Warm Springs Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Mark Whelchecl (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7024347290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewing Life Center 3243 E Warm Springs Rd Suite 100 Las Vegas NV 89120-3185 Ph: (702) 434-7290 | Renewing Life Center 3243 E Warm Springs Rd Suite 100 Las Vegas NV 89120-3185 Ph: (702) 434-7290 |
| NPI Number | 1699174839 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/13/2014 |
| Medicare PECOS PAC ID | 8123462447 |
|---|---|
| Medicare Enrollment ID | O20240214003757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699174839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Judi Davis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831380492 PECOS PAC ID: 8022454529 Enrollment ID: I20240306004031 |
| Provider Name | Ann Allen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427680891 PECOS PAC ID: 1254777501 Enrollment ID: I20240309000236 |
| Provider Name | Jennifer Antonucci |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609270974 PECOS PAC ID: 5496190332 Enrollment ID: I20240309000296 |
| Provider Name | Samantha Winters |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508393034 PECOS PAC ID: 6800232513 Enrollment ID: I20240315001181 |
| Provider Name | Markmark Whelchel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891002960 PECOS PAC ID: 3870939556 Enrollment ID: I20240316000154 |
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