MEDICARE: GEMS

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1851771687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEMS

Provider Business Mailing Address
First Line	:	6334 ANGELITA VIEW AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-2813
Country	:	US
Telephone Number	:	877-210-4367
Fax Number	:	702-457-7661

Provider Business Practice Location Address
First Line	:	6334 ANGELITA VIEW AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89142-2813
Country	:	US
Telephone Number	:	877-210-4367
Fax Number	:	702-457-7661

Authorized Official
Title or Position	:	CEO
Name	:	MS. TRIZAH MORRIS
Credential	:
Telephone Number	:	877-210-4367

Provider Enumeration Date	:	06/07/2015
Last Update Date	:	06/07/2015

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Directions to “GEMS ” Practice Location

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