Healthcare Provider Details

I. General information

NPI: 1760431746
Provider Name (Legal Business Name): THOMAS STRAHLER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 05/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 E CHARLESTON BLVD B-230
LAS VEGAS NV
89104-6659
US

IV. Provider business mailing address

5420 JASPER BUTTE ST
LAS VEGAS NV
89130-3710
US

V. Phone/Fax

Practice location:
  • Phone: 702-596-6960
  • Fax:
Mailing address:
  • Phone: 702-596-6960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4901-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: