CORE STRENGTH LLC


Address: 186 Woolman Rink Ave, Las Vegas, NV 89123-7443
Phone: 7026864777

CORE STRENGTH LLC (NPI# 1205479813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205479813
Entity Type Organization
Organization Name CORE STRENGTH LLC
Practice Address 186 Woolman Rink Ave
Las Vegas
NV 89123-7443
Practice Telephone 7026864777
Mailing Telephone 7026864777
Enumeration Date 2019-10-26
Last Update Date 2019-10-26
Authorized Official Name MONIQUE DAGEL (OWNER)
Authorized Official Telephone 7026864777
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NV BUSINESS LICENSE PENDING 01

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Core Strength LLC 8200 East Belleview, Suite 615, Greenwood Village, CO 80111
Washington State Corporations CORE STRENGTH LLC 23501 56th Ave W, Mountlake Terrace, WA 98043-5203

Office Location

Street Address 186 WOOLMAN RINK AVE
City LAS VEGAS
State NV
Zip Code 89123-7443

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1821537242 Nicole R Vaughn Changing Minds Clinic/Center 911 N Buffalo Dr Unit 206, Las Vegas, NV 89128-0381 2017-02-17
1376090910 Renaissance Ranch Outpatient, LLC Clinic/Center 3037 E Warm Springs Rd, Suite 400, Las Vegas, NV 89120-3758 2016-09-01
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Competitor

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City LAS VEGAS
Zip Code 89123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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