MEDICARE: TESSA SCIALES

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	1041C0700X	Clinical Social Worker	IC-2899	NV

General Provider Information

NPI Number	:	1114686433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TESSA SCIALES

Provider Business Mailing Address
First Line	:	825 SLEEPY MOON AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-2625
Country	:	US
Telephone Number	:	702-449-5058
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 N STEPHANIE ST BLDG 21
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-8771
Country	:	US
Telephone Number	:	702-799-9710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2021
Last Update Date	:	01/12/2026

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1952488298 — DR. DAVID STELLA D.C.
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1023142486 — DR. MERON ANGHESOM DDS
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1003939810 — DANIEL WILLIAM SIMS PROFESSIONAL CORPORATION
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Directions to “ TESSA SCIALES ” Practice Location

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