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NPI Code Detail

MEDICARE: TANIA IVETTE BARR LCSW

MEDICARE: TANIA IVETTE BARR LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor10378-CNV

General Provider Information

NPI Number : 1063274991
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANIA IVETTE BARR LCSW
Provider Business Mailing Address
First Line : 4455 ALLEN LN STE 130
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-2208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4455 ALLEN LN STE 130
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-2208
Country : US
Telephone Number : 702-385-1072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2024
Last Update Date : 01/25/2024

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Directions to “ TANIA IVETTE BARR LCSW” Practice Location

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