Healthcare Provider Details

I. General information

NPI: 1386571347
Provider Name (Legal Business Name): SERAPH DARK PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2037 SHINING FEATHER LN
LAS VEGAS NV
89134-2582
US

IV. Provider business mailing address

732 S 6TH ST STE N
LAS VEGAS NV
89101-6928
US

V. Phone/Fax

Practice location:
  • Phone: 725-900-0224
  • Fax:
Mailing address:
  • Phone: 725-900-0224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SERAPH DARK
Title or Position: CLINICIAN
Credential: LCSW
Phone: 725-900-0224