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NPI Code Detail

MEDICARE: LIFE'S JOURNEY LLC

MEDICARE: LIFE'S JOURNEY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1245031426
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE'S JOURNEY LLC
Provider Business Mailing Address
First Line : 2780 S JONES BLVD STE 221
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5628
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2780 S JONES BLVD STE 221
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5628
Country : US
Telephone Number : 702-237-1298
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LANELL GIBSON
Credential : LMFT
Telephone Number : 702-237-1298
Provider Enumeration Date : 03/22/2025
Last Update Date : 03/26/2025

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Directions to “LIFE'S JOURNEY LLC ” Practice Location

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