MEDICARE: TRU FEEDBACK 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1982588992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRU FEEDBACK LLC

Provider Business Mailing Address
First Line	:	2517 VENETIA POINTE ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-1978
Country	:	US
Telephone Number	:	702-400-9462
Fax Number	:

Provider Business Practice Location Address
First Line	:	3776 HOWARD HUGHES PKWY UNIT 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-0951
Country	:	US
Telephone Number	:	702-400-9462
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. NICHOLAS JONES
Credential	:
Telephone Number	:	702-400-9462

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	08/04/2025

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Directions to “TRU FEEDBACK LLC ” Practice Location

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