OrganizationActive
100 Entertainment Group LLC
NPI 1275123382 · Mental Health Counselor · Las Vegas, NV
Provider details
- NPI number
- 1275123382
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Authorized official
- Thomas Brown, Owner
Practice location
650 S Town Center Dr Apt 1099
Las Vegas, NV 89144-4427
Phone: (714) 603-9578
Mailing address
650 S Town Center Dr Apt 1099
Las Vegas, NV 89144-4427
Registry dates
- Enumerated
- 2021-01-22
- Last updated
- 2021-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.