| Xyz Holistic Therapy Prof Llc | |
|
2920 N Green Valley Pkwy Ste 314 Henderson NV 89014-0412 | |
| (312) 999-8462 | |
| Not Available |
| Full Name | Xyz Holistic Therapy Prof Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2920 N Green Valley Pkwy Ste 314, Henderson, Nevada |
| Authorized Official Name and Position | Tina Merced (OWNER) |
| Authorized Official Contact | 7024975308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Xyz Holistic Therapy Prof Llc 2354 Belvedere Dr Henderson NV 89014-3657 Ph: (702) 497-5308 | Xyz Holistic Therapy Prof Llc 2920 N Green Valley Pkwy Ste 314 Henderson NV 89014-0412 Ph: (312) 999-8462 |
| NPI Number | 1669046421 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669046421 | NPI | - | NPPES |
| 1558851774 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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