NPI 1033436787
Elevate Life
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
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.