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NPI Code Detail

MEDICARE: HEAVEN TSEHAYE

MEDICARE: HEAVEN TSEHAYE
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 Counselor

General Provider Information

NPI Number : 1104217124
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEAVEN TSEHAYE
Provider Business Mailing Address
First Line : 7210 LA CADENA
Second Line :
City : LAS VEGAS
State : NV
Zip : 89179
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7210 LA CADENA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89179-1257
Country : US
Telephone Number : 702-882-8013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2015
Last Update Date : 02/12/2015

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Directions to “ HEAVEN TSEHAYE ” Practice Location

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