Healthcare Provider Details

I. General information

NPI: 1083549737
Provider Name (Legal Business Name): TAMI MADSEN COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S PAVILION CENTER DR STE 150
LAS VEGAS NV
89144-4583
US

IV. Provider business mailing address

732 S 6TH ST STE N
LAS VEGAS NV
89101-6928
US

V. Phone/Fax

Practice location:
  • Phone: 702-379-3191
  • Fax:
Mailing address:
  • Phone: 702-379-3191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TAMI MADSEN
Title or Position: OWNER
Credential: MA,LCPC STATE INTERN
Phone: 702-379-3191