MEDICARE: BELINDA KAY BURKE LRC, CHW

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1265272504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA KAY BURKE LRC, CHW

Provider Business Mailing Address
First Line	:	1410 N TONOPAH DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-1961
Country	:	US
Telephone Number	:	985-314-5222
Fax Number	:

Provider Business Practice Location Address
First Line	:	1410 N TONOPAH DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-1961
Country	:	US
Telephone Number	:	985-314-5222
Fax Number	:

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

Provider Enumeration Date	:	05/24/2024
Last Update Date	:	05/24/2024

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