| Revitacare Health Centers | |
|
1951 Stella Lake St Ste 26 Las Vegas NV 89106-2144 | |
| (702) 366-4674 | |
| Not Available |
| Full Name | Revitacare Health Centers |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1951 Stella Lake St Ste 26, Las Vegas, Nevada |
| Authorized Official Name and Position | Myiesha Armstrong-dunmore (OWNER) |
| Authorized Official Contact | 7023664674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitacare Health Centers 2600 S Town Center Dr Apt 2134 Las Vegas NV 89135-2081 Ph: () - | Revitacare Health Centers 1951 Stella Lake St Ste 26 Las Vegas NV 89106-2144 Ph: (702) 366-4674 |
| NPI Number | 1548080005 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548080005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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