MEDICARE: ALL ABOUT YOU COUNSELING SERVICES

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	253Z00000X	In Home Supportive Care Agency
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1144620360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL ABOUT YOU COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	1020 E DESERT INN RD APT 1008
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2884
Country	:	US
Telephone Number	:	978-332-3233
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 E DESERT INN RD APT 1008
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2884
Country	:	US
Telephone Number	:	978-332-3233
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL COORDINATOR
Name	:	MR. DAVID TAYLOR
Credential	:	LCSW
Telephone Number	:	702-754-0708

Provider Enumeration Date	:	08/25/2014
Last Update Date	:	08/25/2014

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