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General NPI Number Information
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NPI Number | 1578970539
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Entity Type | Organization
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Legal Business Name | PERCEPTIONS COUNSELING CENTER OF SOUTHERN NEVADA LLC
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 3127 E WARM SPRINGS RD STE 300
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City | LAS VEGAS
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State | NV
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Zip | 89120-3134
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Country | US
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Telephone | 702-850-8700
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Fax | 702-850-8707
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Provider Business Mailing Address
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Address Line | 3127 E WARM SPRINGS RD STE 300
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City | LAS VEGAS
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State | NV
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Zip | 89120-3134
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Country | US
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Telephone | 702-850-8700
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Fax | 702-850-8707
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Authorized Official
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Title or Position | PRINCIPAL
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Name | BETTY SAGUANPONG
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Credential | LMFT
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Telephone | 702-850-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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