MEDICARE: DANIELLE KILHOFFER

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	101YM0800X	Mental Health Counselor	CI3257	NV

General Provider Information

NPI Number	:	1124604491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE KILHOFFER

Provider Business Mailing Address
First Line	:	3395 S JONES BLVD # 287
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6729
Country	:	US
Telephone Number	:	580-283-6380
Fax Number	:

Provider Business Practice Location Address
First Line	:	6600 W CHARLESTON BLVD STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-1067
Country	:	US
Telephone Number	:	580-339-0894
Fax Number	:

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

Provider Enumeration Date	:	03/18/2021
Last Update Date	:	07/08/2022

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