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NPI Code Detail

MEDICARE: TRZ NV LLC

MEDICARE: TRZ NV LLC
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 : 1134877194
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRZ NV LLC
Provider Business Mailing Address
First Line : 10620 SOUTHERN HIGHLANDS PKWY STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-4372
Country : US
Telephone Number : 702-389-7937
Fax Number :
Provider Business Practice Location Address
First Line : 3675 PECOS MCLEOD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3811
Country : US
Telephone Number : 702-389-7937
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHRISTIAN LAZARTE
Credential : LMFT, LADC
Telephone Number : 702-373-0981
Provider Enumeration Date : 03/17/2022
Last Update Date : 03/03/2024

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Directions to “TRZ NV LLC ” Practice Location

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