MEDICARE: ALYSHA RAMOLD LMFT, LCADC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	08527-LC	NV
2	106H00000X	Marriage & Family Therapist	5253	NV

General Provider Information

NPI Number	:	1437800455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSHA RAMOLD LMFT, LCADC

Provider Business Mailing Address
First Line	:	27436 BIG BEND DR
Second Line	:
City	:	MENIFEE
State	:	CA
Zip	:	92585-8167
Country	:	US
Telephone Number	:	619-403-0819
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 N TENAYA WAY STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0480
Country	:	US
Telephone Number	:	702-757-8720
Fax Number	:

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

Provider Enumeration Date	:	01/11/2022
Last Update Date	:	04/13/2026

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