Elantra Feazell
Case Manager/Care Coordinator in Las Vegas, NV. Individual provider (NPI-1).
NPI number1982302873
StatusActive
Last updated in NPPESMay 23, 2023
Details
- NPI
- 1982302873
- Entity type
- Individual (NPI-1)
- Name
- Elantra Feazell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 20, 2023
- Certification date
- May 23, 2023
- Last updated
- May 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
4225 Middlesex Ave Apt BLas Vegas, NV 89110-5761
Phone 702-904-5299
Mailing address
4225 Middlesex Ave Apt BLas Vegas, NV 89110-5761
Phone 702-904-5299
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