MEDICARE: RANDY BLIZZARD M.DIV., LPC

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	101YP1600X	Pastoral Counselor		NV
2	101YP2500X	Professional Counselor		NV

General Provider Information

NPI Number	:	1619138195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDY BLIZZARD M.DIV., LPC

Provider Business Mailing Address
First Line	:	2723 E RUSSELL RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2426
Country	:	US
Telephone Number	:	702-248-4547
Fax Number	:

Provider Business Practice Location Address
First Line	:	2723 E RUSSELL RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2426
Country	:	US
Telephone Number	:	702-248-4547
Fax Number	:

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

Provider Enumeration Date	:	06/18/2008
Last Update Date	:	01/25/2010

Similar Medicare Providers

1013873504 — DEIFY AYLIN LLAMAS-SANDOVAL
Practice Location Address:

2715 E RUSSELL RD
LAS VEGAS, NV
89120-2426

Practice Phone: 725-238-4115
Practice Fax:

1487510616 — TYLOR JORDON JUSTICE-PAGE
Practice Location Address:

2715 E RUSSELL RD
LAS VEGAS, NV
89120-2426

Practice Phone: 725-238-4115
Practice Fax:

1346033982 — TIERA NICOLE PURTER RBT
Practice Location Address:

2715 E RUSSELL RD
LAS VEGAS, NV
89120-2426

Practice Phone: 725-238-4115
Practice Fax:

1528011707 — AFFINITY HOME HEALTH SERVICES, LLC.
Practice Location Address:

2721 E RUSSELL RD
LAS VEGAS, NV
89120-2426

Practice Phone: 702-933-1936
Practice Fax: 702-946-6670

1285802637 — CHRISTIAN COUNSELING CENTER, LLC
Practice Location Address:

2723 E RUSSELL RD
LAS VEGAS, NV
89120-2426

Practice Phone: 702-248-4547
Practice Fax: 702-248-1942

1760743488 — MS. JESSICA HARRISON
Practice Location Address:

2715 E RUSSELL RD
LAS VEGAS, NV
89120-2426

Practice Phone: 702-848-1696
Practice Fax:

Directions to “ RANDY BLIZZARD M.DIV., LPC” 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.