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NPI 1689384794

NPI 1689384794 : MOJAVE MEADOWS PSYCHOLOGICAL SERVICES, LLC : HENDERSON, NV

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General NPI Number Information
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    NPI Number           |    1689384794
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    Entity Type          |    Organization 
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    Legal Business Name  |    MOJAVE MEADOWS PSYCHOLOGICAL SERVICES, LLC 
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Dates
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    Enumeration Date     |    11/29/2022
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    2850 W HORIZON RIDGE PKWY STE 200 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89052-4395
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    Country              |    US
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    Telephone            |    214-856-0262
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2850 W HORIZON RIDGE PKWY STE 200 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89052-4395
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    Country              |    US
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    Telephone            |    702-514-0098
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    Fax                  |    702-920-9787
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. YVONNE  FRITZ 
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    Credential           |    PSY.D.
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    Telephone            |    214-856-0262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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