MEDICARE: RA INTUITION, LLC

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
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1376111922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RA INTUITION, LLC

Provider Business Mailing Address
First Line	:	8020 S RAINBOW BLVD STE 100-105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-6483
Country	:	US
Telephone Number	:	702-577-0431
Fax Number	:	725-577-9500

Provider Business Practice Location Address
First Line	:	8020 S RAINBOW BLVD STE 100-105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-6483
Country	:	US
Telephone Number	:	831-402-9083
Fax Number	:	725-204-9500

Authorized Official
Title or Position	:	OWNER/PSYCHOTHERAPIST
Name	:	TIANA CHAZAL WHEELER-BARNES
Credential	:	LCSW
Telephone Number	:	702-557-0431

Provider Enumeration Date	:	06/10/2021
Last Update Date	:	01/13/2026

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