| Uplifting Lives | |
|
4760 S Pecos Rd 222 Las Vegas NV 89121-5828 | |
| (702) 281-3496 | |
| Not Available |
| Full Name | Uplifting Lives |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4760 S Pecos Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Ellen Tinney (OWNER/DIRECT SUPERVISOR) |
| Authorized Official Contact | 7029941949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uplifting Lives 4760 S Pecos Rd 222 Las Vegas NV 89121-5828 Ph: (702) 281-3496 | Uplifting Lives 4760 S Pecos Rd 222 Las Vegas NV 89121-5828 Ph: (702) 281-3496 |
| NPI Number | 1902240443 |
|---|---|
| Provider Enumeration Date | 04/26/2013 |
| Last Update Date | 04/26/2013 |
| Medicare PECOS PAC ID | 6709224157 |
|---|---|
| Medicare Enrollment ID | O20240403003387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902240443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20131182170 (Nevada) | Primary |
| Provider Name | Ellen Tinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598062325 PECOS PAC ID: 1153769500 Enrollment ID: I20240404002275 |
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