Healthcare Provider Details

I. General information

NPI: 1821722737
Provider Name (Legal Business Name): FACING FORWARD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 07/15/2022
Certification Date: 07/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 W CHEYENNE AVE STE 190
NORTH LAS VEGAS NV
89030-7847
US

IV. Provider business mailing address

4004 LIBERTY MEADOW AVE
NORTH LAS VEGAS NV
89031-0190
US

V. Phone/Fax

Practice location:
  • Phone: 702-496-3813
  • Fax: 702-459-8264
Mailing address:
  • Phone: 702-486-3813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. TAMI NURKIN
Title or Position: OWNER
Credential: MFT
Phone: 702-496-3813