Healthcare Provider Details

I. General information

NPI: 1942790407
Provider Name (Legal Business Name): SIDNEY FRIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2018
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4344 W CHEYENNE AVE
N LAS VEGAS NV
89032-2484
US

IV. Provider business mailing address

6730 S FORT APACHE RD
LAS VEGAS NV
89148-5396
US

V. Phone/Fax

Practice location:
  • Phone: 702-843-6500
  • Fax: 702-543-5109
Mailing address:
  • Phone: 702-665-5593
  • Fax: 702-543-5109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: