RESURRECTION ENTERPRISE, LLC
NPI 1902187735
Social Worker - Clinical in Las Vegas, NV

Q: What is Resurrection Enterprise, LLC's NPI number?

The NPI number for Resurrection Enterprise, LLC is 1902187735. It was assigned to this organization in the NPPES registry on September 7, 2011.

Q: What is Resurrection Enterprise, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since September 07, 2011

1448 E CHARLESTON BLVD, LAS VEGAS, NV 89104(702) 382-4061 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Resurrection Enterprise, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESURRECTION ENTERPRISE, LLC (NPI 1902187735) is a healthcare organization registered as a clinical in Las Vegas, Nevada and active in the NPI registry since September 2011. The organization lists Phung Horton Jefferson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1902187735

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameRESURRECTION ENTERPRISE, LLC

Location Address1448 E CHARLESTON BLVDLas Vegas, NV 89104-1705

Mailing AddressPo Box 12924Las Vegas, NV 89112-0924 · (702) 382-4061

Phone(702) 382-4061

Organization SubpartNo

Authorized OfficialPhung Horton JeffersonManaging Member · (702) 382-4061

Enumeration DateSeptember 7, 2011

Last NPPES UpdateJanuary 5, 2016

✔ NPI 1902187735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

1448 E CHARLESTON BLVD, Las Vegas, NV 89104

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELDY JOHANA SANTOS

Behavior Analyst