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General NPI Number Information
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NPI Number | 1750295382
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Entity Type | Organization
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Legal Business Name | BREEZY HEALTH AND WELLNESS
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 10445 ARMAND AVE
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City | LAS VEGAS
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State | NV
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Zip | 89129-6414
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Country | US
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Telephone | 702-785-2552
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Fax | 702-374-0233
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Provider Business Mailing Address
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Address Line | 10445 ARMAND AVE
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City | LAS VEGAS
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State | NV
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Zip | 89129-6414
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Country | US
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Telephone | 702-785-2552
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Fax | 702-374-0233
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Authorized Official
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Title or Position | LCSW
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Name | BRENDA LATISHA GRAY
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Credential |
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Telephone | 702-785-2552
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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 | NULL
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