MEDICARE: PSYCHOLOGICAL SOLUTIONS FOR NEVADA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY06677	NV
2	103TF0000X	Family Psychologist	PY06677	NV
3	103TF0200X	Forensic Psychologist	PY06677	NV
4	103TC2200X	Clinical Child & Adolescent Psychologist	PY06677	NV

General Provider Information

NPI Number	:	1033640719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHOLOGICAL SOLUTIONS FOR NEVADA

Provider Business Mailing Address
First Line	:	3175 E WARM SPRINGS RD STE 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3137
Country	:	US
Telephone Number	:	702-506-4089
Fax Number	:

Provider Business Practice Location Address
First Line	:	3175 E WARM SPRINGS RD STE 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3137
Country	:	US
Telephone Number	:	27-506-4089
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BREE MULLIN
Credential	:	PSYD
Telephone Number	:	702-506-4089

Provider Enumeration Date	:	03/23/2017
Last Update Date	:	09/06/2022

Similar Medicare Providers

1073687166 — DR. BREE MARIE MULLIN PSY.D.
Practice Location Address:

3175 E WARM SPRINGS RD STE 105
LAS VEGAS, NV
89120-3137

Practice Phone: 702-506-4089
Practice Fax:

1720243686 — MR. JOHN EDWIN REHILL M.F.T.
Practice Location Address:

3175 E WARM SPRINGS RD STE 109
LAS VEGAS, NV
89120-3137

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1518228956 — MR. STEPHEN MICHAEL STEPANOVICH M.S. MFT
Practice Location Address:

3175 E WARM SPRINGS RD STE 111
LAS VEGAS, NV
89120-3137

Practice Phone: 702-743-4497
Practice Fax:

1992312995 — MISS DARSHAE LATOI PIERCE
Practice Location Address:

3175 E WARM SPRINGS RD STE 110
LAS VEGAS, NV
89120-3137

Practice Phone: 702-202-3048
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1821815143 — WAVES COUNSELING AND THERAPY
Practice Location Address:

3175 E WARM SPRINGS RD STE 102
LAS VEGAS, NV
89120-3137

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1366444937 — DR. SAMUEL ANTONIO MUJICA TRENCHE MD
Practice Location Address:

3265 ROSANNA ST
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89117-3137

Practice Phone: 702-205-1948
Practice Fax: 702-876-9181

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