Provider Demographics
NPI:1255703948
Name:THERAPEUTIC SOLUTIONS LLC
Entity type:Organization
Organization Name:THERAPEUTIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MITZEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:702-809-5157
Mailing Address - Street 1:2340 PASEO DEL PRADO
Mailing Address - Street 2:SUITE D 207
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-4360
Mailing Address - Country:US
Mailing Address - Phone:702-809-5157
Mailing Address - Fax:702-933-0642
Practice Address - Street 1:2340 PASEO DEL PRADO
Practice Address - Street 2:SUITE D 207
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-4360
Practice Address - Country:US
Practice Address - Phone:702-809-5157
Practice Address - Fax:702-933-0642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20151592581251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health