MEDICARE: CENTERED HEALTH COUNSELING

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1063977411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERED HEALTH COUNSELING

Provider Business Mailing Address
First Line	:	3975 N HUALAPAI WAY UNIT 252
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7937
Country	:	US
Telephone Number	:	702-528-6958
Fax Number	:

Provider Business Practice Location Address
First Line	:	3975 N HUALAPAI WAY UNIT 252
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7937
Country	:	US
Telephone Number	:	702-528-6958
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOE A NIEVES
Credential	:
Telephone Number	:	702-528-6958

Provider Enumeration Date	:	02/08/2019
Last Update Date	:	02/08/2019

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Directions to “CENTERED HEALTH COUNSELING ” Practice Location

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