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NPI Code Detail

MEDICARE: DESERT GRIT MENTAL HEALTH LLC

MEDICARE: DESERT GRIT MENTAL HEALTH LLC
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
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor
3106H00000XMarriage & Family Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11760901383OTHERNPI -INDIVIDUAL

General Provider Information

NPI Number : 1912501883
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESERT GRIT MENTAL HEALTH LLC
Provider Business Mailing Address
First Line : 187 E WARM SPRINGS RD STE B157
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4110
Country : US
Telephone Number : 702-899-1950
Fax Number : 725-999-1013
Provider Business Practice Location Address
First Line : 187 E WARM SPRINGS RD STE B157
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4110
Country : US
Telephone Number : 702-899-1950
Fax Number : 725-999-1013
Authorized Official
Title or Position : OWNER / OPERATOR
Name : LINDSEY KATHLEEN DUNNAGAN
Credential : LMFT, LCPC, LPCC,SAP
Telephone Number : 909-566-2477
Provider Enumeration Date : 11/23/2020
Last Update Date : 05/13/2025

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Directions to “DESERT GRIT MENTAL HEALTH LLC ” Practice Location

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