Mountain Vista Wellness Group LLC
NPI #1407417348 in North Las Vegas, Nevada
Provider Information
- NPI Number
- 1407417348
- Entity Type
- Organization
- Organization Name
- Mountain Vista Wellness Group LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 21, 2019
- Last Updated
- Jun 21, 2019
Practice Location
- Address
- 1953 BAYHURST AVE
- City
- North Las Vegas
- State
- Nevada
- ZIP Code
- 89031-0751
- Phone
- (708) 537-6511
Authorized Official
- Name
- KELVIN ANDERSON
- Title
- OWNER
- Phone
- (708) 537-6511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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