| Triumphant Life Performance Service Llc | |
|
5550 Painted Mirage Rd 320 Las Vegas NV 89149-4581 | |
| (702) 582-6129 | |
| Not Available |
| Full Name | Triumphant Life Performance Service Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5550 Painted Mirage Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Alexis Brown (OWNER) |
| Authorized Official Contact | 7025826129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triumphant Life Performance Service Llc 5550 Painted Mirage Rd 320 Las Vegas NV 89149-4581 Ph: () - | Triumphant Life Performance Service Llc 5550 Painted Mirage Rd 320 Las Vegas NV 89149-4581 Ph: (702) 582-6129 |
| NPI Number | 1588087449 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588087449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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