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General NPI Number Information
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NPI Number | 1770380446
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Entity Type | Organization
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Legal Business Name | PSALMS 91
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 1504 NEWPORT ST
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City | LAS VEGAS
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State | NV
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Zip | 89110-1030
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Country | US
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Telephone | 702-859-8474
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 NEWPORT ST
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City | LAS VEGAS
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State | NV
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Zip | 89110-1030
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Country | US
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Telephone | 702-859-8474
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / FOUNDER
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Name | VANESSA HOLDEN
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Credential |
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Telephone | 702-859-8474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider 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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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