MEDICARE: SUPPORTIVE COUNSELING, 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

General Provider Information

NPI Number	:	1538747043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPPORTIVE COUNSELING, LLC

Provider Business Mailing Address
First Line	:	8708 TOMNITZ AVE UNIT 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-6715
Country	:	US
Telephone Number	:	702-600-9753
Fax Number	:

Provider Business Practice Location Address
First Line	:	8708 TOMNITZ AVE UNIT 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-6715
Country	:	US
Telephone Number	:	702-600-9753
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	BRIANNA SHACOLE MARSHALL
Credential	:	LCSW
Telephone Number	:	702-600-9753

Provider Enumeration Date	:	03/29/2021
Last Update Date	:	03/30/2021

Similar Medicare Providers

1710380753 — ANIEL INGUANZO
Practice Location Address:

9671 STONEY CREEK DR
LAS VEGAS, NV
89117-6715

Practice Phone: 702-985-9975
Practice Fax:

1275936213 — ELIZABETH GAMBOA CAZARES
Practice Location Address:

9661 STONEY CREEK DR
LAS VEGAS, NV
89117-6715

Practice Phone: 702-525-5862
Practice Fax:

1023295771 — SANDRA MENDOZA
Practice Location Address:

6715 SUNSPOT CT
LAS CRUCES, NM
88012-9258

Practice Phone: 505-496-9749
Practice Fax:

1457135733 — WHOLEPOINTE REHABILITATION PLLC
Practice Location Address:

6715 LAS COLINAS DR
TEMPLE, TX
76502-5562

Practice Phone: 469-773-0445
Practice Fax:

1518820315 — JETHRO ARELLANO LOPEZ
Practice Location Address:

9197 CASTLE VALLEY AVE
LAS VEGAS, NV
89178-7580

Practice Phone: 702-541-3366
Practice Fax:

1205790664 — TINA BATRES
Practice Location Address:

673 CHEPSTOW AVE
LAS VEGAS, NV
89178-1245

Practice Phone: 818-984-3722
Practice Fax:

Directions to “SUPPORTIVE COUNSELING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.