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NPI Code Detail

MEDICARE: STEP BY STEP BEHAVIORAL HEALTH CLINIC

MEDICARE: STEP BY STEP BEHAVIORAL HEALTH CLINIC
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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3103TB0200XCognitive & Behavioral Psychologist
4103TC2200XClinical Child & Adolescent Psychologist
5103TF0000XFamily Psychologist
6103TH0004XHealth Psychologist
7103TH0100XHealth Service Psychologist
8103TM1800XIntellectual & Developmental Disabilities Psychologist
9103TP0016XPrescribing (Medical) Psychologist
10103TP0814XPsychoanalysis Psychologist
11103TP2701XGroup Psychotherapy Psychologist
12104100000XSocial Worker
131041C0700XClinical Social Worker
14106S00000XBehavior Technician
15103K00000XBehavior Analyst

General Provider Information

NPI Number : 1063951820
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEP BY STEP BEHAVIORAL HEALTH CLINIC
Provider Business Mailing Address
First Line : 631 N STEPHANIE ST
Second Line : SUITE 579
City : HENDERSON
State : NV
Zip : 89014-2633
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4185 VEGAS VALLEY DR
Second Line : SUITE B
City : LAS VEGAS
State : NV
Zip : 89121-2522
Country : US
Telephone Number : 702-870-7837
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LETANIYA WARREN
Credential :
Telephone Number : 702-686-0600
Provider Enumeration Date : 02/13/2017
Last Update Date : 02/13/2017

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Directions to “STEP BY STEP BEHAVIORAL HEALTH CLINIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.