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NPI 1275123382 · live from the CMS NPI Registry

100 Entertainment Group LLC

Counselor, Mental Health in Las Vegas, NV. National Provider Identifier 1275123382, active.

NPI record

NPI1275123382 Type 2 · organization
StatusActive
Primary specialtyCounselor, Mental Health 101YM0800X
Practice location650 S Town Center Dr Apt 1099, Las Vegas, NV 89144
Practice phone714-603-9578
EnumeratedJanuary 22, 2021
Last updatedJanuary 22, 2021
Authorized officialThomas Brown, Owner
Other namesProject 100 Health

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health primary101YM0800X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.