Healthcare Provider Details

I. General information

NPI: 1932767944
Provider Name (Legal Business Name): ASSURANCE PROFESSIONAL MANAGEMENT SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2019
Last Update Date: 06/23/2020
Certification Date: 06/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E DESERT INN RD STE 113
LAS VEGAS NV
89169-3206
US

IV. Provider business mailing address

1700 E DESERT INN RD STE 113
LAS VEGAS NV
89169-3206
US

V. Phone/Fax

Practice location:
  • Phone: 702-862-4774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH Z THOMAS
Title or Position: OWNER
Credential:
Phone: 702-862-4774