Healthcare Provider Details

I. General information

NPI: 1437800455
Provider Name (Legal Business Name): ALYSHA RAMOLD LMFT, LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2022
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 N TENAYA WAY STE 200
LAS VEGAS NV
89128-0480
US

IV. Provider business mailing address

27436 BIG BEND DR
MENIFEE CA
92585-8167
US

V. Phone/Fax

Practice location:
  • Phone: 702-757-8720
  • Fax:
Mailing address:
  • Phone: 619-403-0819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number08527-LC
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number5253
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: