Healthcare Provider Details

I. General information

NPI: 1619343845
Provider Name (Legal Business Name): ROI COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2015
Last Update Date: 08/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5017 ALTA DR
LAS VEGAS NV
89107-3937
US

IV. Provider business mailing address

6955 N DURANGO DR STE 11115-104
LAS VEGAS NV
89149-4411
US

V. Phone/Fax

Practice location:
  • Phone: 702-816-2595
  • Fax: 702-816-2574
Mailing address:
  • Phone: 702-816-2595
  • Fax: 702-816-2574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number01564-L
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCI0149
License Number StateNV

VIII. Authorized Official

Name: MS. AMBER TARLTON
Title or Position: CLINICAL DIRECTOR/OWNER
Credential: MS, NCC, CPC-I, LADC
Phone: 702-816-2595