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General NPI Number Information
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NPI Number | 1376990945
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Entity Type | Organization
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Legal Business Name | HEALTHY OPTIONS COMMUNITY WELLNESS CENTER
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 6935 ALIANTE PKWY NUM 104-169
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084-5818
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Country | US
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Telephone | 702-204-0150
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Fax | 702-586-8207
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Provider Business Mailing Address
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Address Line | 6935 ALIANTE PKWY NUM 104-169
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084-5818
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Country | US
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Telephone | 702-204-0150
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Fax | 702-586-8207
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Authorized Official
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Title or Position | PRESIDENT/SECRETARY
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Name | DR. TONEY W STEPHENSON
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Credential | PSYD
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Telephone | 702-204-0150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MI0717
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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