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General NPI Number Information
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NPI Number | 1073477063
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Entity Type | Organization
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Legal Business Name | KEYS TO MENTAL HEALTH WELLNESS AND RECOVERY LLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 6532 ISOLATED AVE
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City | LAS VEGAS
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State | NV
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Zip | 89110-5157
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Country | US
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Telephone | 702-716-3603
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Fax |
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Provider Business Mailing Address
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Address Line | 6532 ISOLATED AVE
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City | LAS VEGAS
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State | NV
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Zip | 89110-5157
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Country | US
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Telephone | 702-716-3603
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SHIRLEY RILEY-COLLIER
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Credential |
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Telephone | 702-716-3603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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