MEDICARE: KATIE DIANE HAIR M.S., LMFT, LCADC-S

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	08001-LCS	NV
2	106H00000X	Marriage & Family Therapist	01263	NV

General Provider Information

NPI Number	:	1568808582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE DIANE HAIR M.S., LMFT, LCADC-S

Provider Business Mailing Address
First Line	:	7495 W AZURE DR STE 252
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-4417
Country	:	US
Telephone Number	:	702-920-0757
Fax Number	:

Provider Business Practice Location Address
First Line	:	7495 W AZURE DR STE 252
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-4417
Country	:	US
Telephone Number	:	702-920-0757
Fax Number	:

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

Provider Enumeration Date	:	05/16/2013
Last Update Date	:	01/30/2026

Similar Medicare Providers

1861776429 — KIMBERLY MOLNAR MFT LTD
Practice Location Address:

7495 W AZURE DR STE 218
LAS VEGAS, NV
89130-4417

Practice Phone: 702-515-4015
Practice Fax: 702-202-6798

1467991760 — CHAZ RALPHS OTR/L
Practice Location Address:

7495 W AZURE DR STE 140
LAS VEGAS, NV
89130-4417

Practice Phone: 702-515-4009
Practice Fax:

1093485104 — SAVONNI SIMMS
Practice Location Address:

4417 CHARNETA CT
LAS VEGAS, NV
89130-5200

Practice Phone: 725-216-4148
Practice Fax:

1558026096 — FRANK W BROWN
Practice Location Address:

7495 W AZURE DR STE 230
LAS VEGAS, NV
89130-4417

Practice Phone: 702-815-9046
Practice Fax:

1417752635 — M.C.A ENTERPRISES PROFESSIONAL LLC
Practice Location Address:

7495 W AZURE DR STE 256
LAS VEGAS, NV
89130-4417

Practice Phone: 702-403-7997
Practice Fax:

1497649222 — HANNAH KALAMBAKAL MFT-INTERN
Practice Location Address:

7495 W AZURE DR STE 227
LAS VEGAS, NV
89130-4417

Practice Phone: 702-706-5145
Practice Fax:

Directions to “ KATIE DIANE HAIR M.S., LMFT, LCADC-S” 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 © 2007-2026 (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.