MEDICARE: KEIANA CHINO MS, LMFT-I

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	106H00000X	Marriage & Family Therapist		NV

General Provider Information

NPI Number	:	1114876968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEIANA CHINO MS, LMFT-I

Provider Business Mailing Address
First Line	:	2520 SAINT ROSE PKWY STE 310
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-7790
Country	:	US
Telephone Number	:	702-496-6562
Fax Number	:

Provider Business Practice Location Address
First Line	:	2520 SAINT ROSE PKWY STE 310
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-7790
Country	:	US
Telephone Number	:	702-496-6562
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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