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General NPI Number Information
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NPI Number | 1417750266
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Entity Type | Organization
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Legal Business Name | CARE AND CRISIS CLINIC LLC
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 3650 N RANCHO DR STE 106
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City | LAS VEGAS
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State | NV
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Zip | 89130-3151
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Country | US
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Telephone | 702-723-2273
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Fax | 702-760-4585
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Provider Business Mailing Address
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Address Line | 3650 N RANCHO DR STE 106
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City | LAS VEGAS
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State | NV
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Zip | 89130-3151
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Country | US
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Telephone | 702-723-2273
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Fax | 702-760-4585
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Authorized Official
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Title or Position | OWNER
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Name | DENICIA POWELL
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Credential |
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Telephone | 702-723-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 |
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License Number State |
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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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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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