Healthcare Provider Details

I. General information

NPI: 1508317256
Provider Name (Legal Business Name): RETHINK THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2016
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 SAINT ROSE PARKWAY SUITE 310
HENDERSON NV
89074-7774
US

IV. Provider business mailing address

2520 SAINT ROSE PARKWAY SUITE 310
HENDERSON NV
89074-7774
US

V. Phone/Fax

Practice location:
  • Phone: 702-496-6562
  • Fax: 702-993-8283
Mailing address:
  • Phone: 702-496-6562
  • Fax: 702-993-8283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCP0069
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: NICOLE MARIE BREWER
Title or Position: OWNER/PSYCHOTHERAPIST/SUPERVISOR
Credential: CPC, LCADC, NCC
Phone: 702-496-6562