Healthcare Provider Details

I. General information

NPI: 1386271740
Provider Name (Legal Business Name): FIBONACCI SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 N. GREEN VALLEY PKWY BULDING 8 & SUITE 812
HENDERSON NV
89014
US

IV. Provider business mailing address

2920 N GREEN VALLEY PKWY BLDG 8
HENDERSON NV
89014-0406
US

V. Phone/Fax

Practice location:
  • Phone: 702-861-1875
  • Fax: 210-892-3616
Mailing address:
  • Phone: 702-861-1875
  • Fax: 210-892-3616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSIKA Q. F. MAYES
Title or Position: OWNER/CEO
Credential:
Phone: 702-861-1875