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NPI Code Detail

MEDICARE: LAS VEGAS THERAPY

MEDICARE: LAS VEGAS THERAPY
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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker
3106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1841848116
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAS VEGAS THERAPY
Provider Business Mailing Address
First Line : 3320 N BUFFALO DR STE 207
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-7411
Country : US
Telephone Number : 702-659-4825
Fax Number :
Provider Business Practice Location Address
First Line : 3320 N BUFFALO DR STE 207
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-7411
Country : US
Telephone Number : 702-659-4825
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : MELANIE STEWART
Credential :
Telephone Number : 702-659-4825
Provider Enumeration Date : 08/29/2019
Last Update Date : 08/12/2021

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Directions to “LAS VEGAS THERAPY ” Practice Location

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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.

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