MEDICARE: MS. ARLENE THOMAS MAURER LCSW

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	101YM0800X	Mental Health Counselor	4238-C	NV

General Provider Information

NPI Number	:	1609007889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ARLENE THOMAS MAURER LCSW

Provider Business Mailing Address
First Line	:	3170 E SUNSET RD
Second Line	:	SUITE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2745
Country	:	US
Telephone Number	:	702-629-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3170 E SUNSET RD
Second Line	:	SUITE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2745
Country	:	US
Telephone Number	:	702-629-6000
Fax Number	:

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

Provider Enumeration Date	:	08/05/2009
Last Update Date	:	08/05/2009

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