MEDICARE: ASSURANCE PROFESSIONAL MANAGEMENT SERVICES INC.

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
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1932767944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURANCE PROFESSIONAL MANAGEMENT SERVICES INC.

Provider Business Mailing Address
First Line	:	1700 E DESERT INN RD STE 113
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3206
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 E DESERT INN RD STE 113
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3206
Country	:	US
Telephone Number	:	702-862-4774
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH Z THOMAS
Credential	:
Telephone Number	:	702-862-4774

Provider Enumeration Date	:	06/04/2019
Last Update Date	:	06/23/2020

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