institution
Kelley Johnson
Adult Mental Health Clinic/Center in Las Vegas, Nevada
NPI 1669031852

Kelley Johnson is an Adult Mental Health Clinic/Center based in Las Vegas, NV and is specialized in Adult Mental Health. Kelley Johnson practices in Las Vegas, NV. The NPI Number for Kelley Johnson is 1669031852 and holds a License No. (Nevada).

The current practice location address for Kelley Johnson is 4455 S Pecos Rd Ste C, Las Vegas, NV and can be reached out via phone at 702-350-1430.

Location: 4455 S Pecos Rd Ste C, Las Vegas, NV, 89129-7087
institution
Provider Profile Details
NPI Number
1669031852
Provider Name
Kelley Johnson
Credential
Provider Entity Type
Organization
Address
4455 S Pecos Rd Ste C, Las Vegas, NV, 89129-7087
Phone Number
702-350-1430
Fax Number
Provider Enumeration Date
06/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NV201911111296 01 NV BUSINESS LICENSE
institution
Provider Business Practice Location Address Details
Address
4455 S Pecos Rd Ste C
City
State
Zip
89121-5029
Phone Number
702-350-1430
Fax Number
person
Provider Business Mailing Address Details
Address
4455 S Pecos Rd Ste C
City
State
Zip
89121-5029
Phone Number
702-350-1430
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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