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General NPI Number Information
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NPI Number | 1124317086
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Entity Type | Organization
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Legal Business Name | CONSERVATORY OF HOPE TREATMENT SERVICES LLC
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 5755 S SANDHILL RD STE B
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City | LAS VEGAS
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State | NV
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Zip | 89120-2551
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Country | US
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Telephone | 252-050-6607
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Fax | 725-205-0199
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Provider Business Mailing Address
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Address Line | 5755 S SANDHILL RD STE B
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City | LAS VEGAS
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State | NV
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Zip | 89120-2551
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Country | US
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Telephone | 725-205-0660
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Fax | 252-050-1997
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Authorized Official
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Title or Position | CEO
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Name | AMBER CECILE GALBRAITH
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Credential | MFTI
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Telephone | 725-205-0660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MI0302
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MI0302
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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