Whalio Doctors

NPI 1033436787

Elevate Life

Organisation Mental Health Counselor North Las Vegas, NV

Practice location

Address
2605 Rainbow Glow St, North Las Vegas, NV 89030-3709
Phone
(702) 630-5009

Authorised official

Name
Willie Pearl Jackson
Title
Owner
Phone
(702) 630-5009

Registered specialties

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Registry record

NPI
1033436787
Entity type
Organization
NPI issued
20 Apr 2010
Record last updated
20 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.