Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Resurrection Enterprise, LLC

Organization Mental Health Counselor · NPI 1902187735

Resurrection Enterprise, LLC is a Mental Health Counselor in Las Vegas, Nevada. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1448 E Charleston Blvd
Las Vegas, NV 89104-1705
Phone: (702) 382-4061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1902187735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phung Jefferson — Managing Member · (702) 382-4061
NPI enumeratedSeptember 7, 2011
Last updated in NPPESJanuary 5, 2016
Mailing addressPo Box 12924, Las Vegas, NV 89112-0924

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