| Restoration And Recovery, Llc | |
|
7495 W Azure Dr Ste 246 Las Vegas NV 89130-4436 | |
| (702) 302-4288 | |
| (702) 790-2570 |
| Full Name | Restoration And Recovery, Llc |
|---|---|
| Speciality | Counselor |
| Location | 7495 W Azure Dr Ste 246, Las Vegas, Nevada |
| Authorized Official Name and Position | Marivelle Nunez-rucker (OWNER) |
| Authorized Official Contact | 7027509387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration And Recovery, Llc 6120 Skokie Court Las Vegas NV 89130 Ph: (702) 374-8500 | Restoration And Recovery, Llc 7495 W Azure Dr Ste 246 Las Vegas NV 89130-4436 Ph: (702) 302-4288 |
| NPI Number | 1467847657 |
|---|---|
| Provider Enumeration Date | 04/03/2015 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Medicare PECOS PAC ID | 9537435854 |
|---|---|
| Medicare Enrollment ID | O20171031002588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467847657 | NPI | - | NPPES |
| Provider Name | Elleston C Rucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679601470 PECOS PAC ID: 2163497942 Enrollment ID: I20040826000914 |
| Provider Name | Thomas J Stewart |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144530411 PECOS PAC ID: 9436592938 Enrollment ID: I20240212004096 |
| Provider Name | Marivelle Nunez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336480730 PECOS PAC ID: 9335405570 Enrollment ID: I20240516002511 |
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