Healthcare Provider Details

I. General information

NPI: 1750793766
Provider Name (Legal Business Name): SILVER LINING COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2014
Last Update Date: 05/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7473 W LAKE MEAD BLVD SUITE 100
LAS VEGAS NV
89128-0265
US

IV. Provider business mailing address

8777 COUNTRY VIEW AVE
LAS VEGAS NV
89129-7698
US

V. Phone/Fax

Practice location:
  • Phone: 702-920-0757
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number01263
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number01263
License Number StateNV

VIII. Authorized Official

Name: KATIE INFANTE
Title or Position: THERAPIST
Credential: MS, LMFT, LADC
Phone: 702-324-9156