Provider Demographics
NPI:1568227684
Name:TRUE CORE THERAPY AND WELLNESS LLC
Entity Type:Organization
Organization Name:TRUE CORE THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NELANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANSELMO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:702-809-3555
Mailing Address - Street 1:1452 W HORIZON RIDGE PKWY # 327
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-4422
Mailing Address - Country:US
Mailing Address - Phone:702-809-3555
Mailing Address - Fax:702-476-2699
Practice Address - Street 1:2518 ANTHEM VILLAGE DR STE 103
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5554
Practice Address - Country:US
Practice Address - Phone:702-809-3555
Practice Address - Fax:702-476-2699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty