MEDICARE: HEALING AND WHOLENESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1881206605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING AND WHOLENESS

Provider Business Mailing Address
First Line	:	9634 HAWK CLIFF AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4716
Country	:	US
Telephone Number	:	702-376-9122
Fax Number	:

Provider Business Practice Location Address
First Line	:	9634 HAWK CLIFF AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4716
Country	:	US
Telephone Number	:	702-376-9122
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LESHA DELANEY
Credential	:
Telephone Number	:	702-376-9122

Provider Enumeration Date	:	08/21/2020
Last Update Date	:	08/21/2020

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Directions to “HEALING AND WHOLENESS ” Practice Location

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