OrganizationActive
Life Gateway
NPI 1710246921 · Clinical Child & Adolescent Psychologist · North Las Vegas, NV
Provider details
- NPI number
- 1710246921
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Cynthia Ewell, Managing Member(702) 752-9274
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2128 Pink Coral Dr
North Las Vegas, NV 89031-0985
Phone: (702) 234-9822
Approximate (ZIP-level) locationGet directions
Mailing address
3605 Mountain Crest St
Las Vegas, NV 89129-7864
Registry dates
- Enumerated
- 2012-05-08
- Last updated
- 2012-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.