Healthcare Provider Details

I. General information

NPI: 1851678098
Provider Name (Legal Business Name): GUILLERMINA ARAMBULA BSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2011
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 N MARTIN L KING BLVD STE A
NORTH LAS VEGAS NV
89032-3205
US

IV. Provider business mailing address

4955 S DURANGO DR STE 207
LAS VEGAS NV
89113-0156
US

V. Phone/Fax

Practice location:
  • Phone: 702-644-4673
  • Fax: 702-902-5443
Mailing address:
  • Phone: 702-650-6508
  • Fax: 702-893-9655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: