| Team Care Corp | |
|
1716 W Horizon Ridge Pkwy Ste 130 Henderson NV 89012-5003 | |
| (702) 209-6339 | |
| Not Available |
| Full Name | Team Care Corp |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1716 W Horizon Ridge Pkwy Ste 130, Henderson, Nevada |
| Authorized Official Name and Position | Jessica Poole (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7022783919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Care Corp 8923 La Manga Ave Las Vegas NV 89147-6022 Ph: (702) 209-6339 | Team Care Corp 1716 W Horizon Ridge Pkwy Ste 130 Henderson NV 89012-5003 Ph: (702) 209-6339 |
| NPI Number | 1366058067 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 10/15/2021 |
| Certification Date | 10/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366058067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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