Healthcare Provider Details

I. General information

NPI: 1992057376
Provider Name (Legal Business Name): ADA STEPPES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 05/08/2024
Certification Date: 05/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8665 W FLAMINGO RD STE 2000
LAS VEGAS NV
89147-8626
US

IV. Provider business mailing address

8665 W FLAMINGO RD STE 2000
LAS VEGAS NV
89147-8626
US

V. Phone/Fax

Practice location:
  • Phone: 702-735-9755
  • Fax: 702-367-9089
Mailing address:
  • Phone: 702-735-9755
  • Fax: 702-367-9089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: