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General NPI Number Information
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NPI Number | 1629875190
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Entity Type | Organization
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Legal Business Name | CARE AND CRISIS CLINIC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 871 CORONADO CENTER DR STE 200
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City | HENDERSON
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State | NV
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Zip | 89052-3977
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Country | US
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Telephone | 702-723-2273
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Fax |
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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 | 702-740-4532
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/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 | 101YM0800X
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Taxonomy Name | Mental Health 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 | 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 #3
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #9
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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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