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General NPI Number Information
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NPI Number | 1851116909
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Entity Type | Organization
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Legal Business Name | ELITE COUNSELING CENTER LLC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 4580 S EASTERN AVE STE 32
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City | LAS VEGAS
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State | NV
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Zip | 89119-6100
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Country | US
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Telephone | 702-356-2986
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Fax |
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Provider Business Mailing Address
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Address Line | 4580 S EASTERN AVE STE 32
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City | LAS VEGAS
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State | NV
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Zip | 89119-6100
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Country | US
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Telephone | 702-356-2986
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OLGA OFELIA ECHEVARRIA DE DIAZ
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Credential |
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Telephone | 702-356-2986
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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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