Healthcare Provider Details

I. General information

NPI: 1871348771
Provider Name (Legal Business Name): ALLISON ZILBERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 E WARM SPRINGS RD STE 140
LAS VEGAS NV
89119-4593
US

IV. Provider business mailing address

1350 W HORIZON RIDGE PKWY APT 723
HENDERSON NV
89012-4434
US

V. Phone/Fax

Practice location:
  • Phone: 702-779-3956
  • Fax:
Mailing address:
  • Phone: 702-875-5828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC15347
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: