| Youth Moving Forward Llc | |
|
2920 S Jones Blvd Ste 110b Las Vegas NV 89146-5395 | |
| (702) 754-9063 | |
| Not Available |
| Full Name | Youth Moving Forward Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2920 S Jones Blvd Ste 110b, Las Vegas, Nevada |
| Authorized Official Name and Position | Natalie Stafford (CEO) |
| Authorized Official Contact | 7027549063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Moving Forward Llc 7213 Chesterton Dr Las Vegas NV 89128-3121 Ph: (702) 754-9063 | Youth Moving Forward Llc 2920 S Jones Blvd Ste 110b Las Vegas NV 89146-5395 Ph: (702) 754-9063 |
| NPI Number | 1053910935 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 10/21/2020 |
| Certification Date | 10/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053910935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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