Healthcare Provider Details

I. General information

NPI: 1982728325
Provider Name (Legal Business Name): NORA M ALVAREZ B.A., M.A.,LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NORA M. MENDOZA-ALVAREZ

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1481 W WARM SPRINGS RD
HENDERSON NV
89014-7633
US

IV. Provider business mailing address

44100 JEFFERSON ST # D403-332
INDIO CA
92201-9014
US

V. Phone/Fax

Practice location:
  • Phone: 775-387-2230
  • Fax:
Mailing address:
  • Phone: 702-902-9870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 50665
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number01449
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: