MEDICARE: MATERNAL MINDS COUNSELING

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	1041C0700X	Clinical Social Worker
3	106H00000X	Marriage & Family Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124646500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATERNAL MINDS COUNSELING

Provider Business Mailing Address
First Line	:	7310 SMOKE RANCH RD STE S
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0260
Country	:	US
Telephone Number	:	702-456-4262
Fax Number	:	440-332-1730

Provider Business Practice Location Address
First Line	:	7310 SMOKE RANCH RD STE S
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0260
Country	:	US
Telephone Number	:	702-456-4262
Fax Number	:	440-332-1730

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CARLY L KRAMER
Credential	:	LMFT
Telephone Number	:	702-456-4262

Provider Enumeration Date	:	07/11/2020
Last Update Date	:	07/11/2020

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Directions to “MATERNAL MINDS COUNSELING ” Practice Location

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