Provider Demographics
NPI:1245983055
Name:MEANINGFUL LENS THERAPEUTIC SERVICES, LLC
Entity type:Organization
Organization Name:MEANINGFUL LENS THERAPEUTIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:702-563-5440
Mailing Address - Street 1:7316 SUNRAY POINT ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-4758
Mailing Address - Country:US
Mailing Address - Phone:702-720-6638
Mailing Address - Fax:
Practice Address - Street 1:7316 SUNRAY POINT ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-4758
Practice Address - Country:US
Practice Address - Phone:702-720-6638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2023-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)