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NPI Code Detail

MEDICARE: IN TOUCH MENTAL HEALTH, LLC

MEDICARE: IN TOUCH MENTAL HEALTH, 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
11041C0700XClinical Social WorkerNV20151686856NV

General Provider Information

NPI Number : 1205201266
Entity Type Code : Organization
Provider Name (Legal Business Name) : IN TOUCH MENTAL HEALTH, LLC
Provider Business Mailing Address
First Line : 5426 VEGAS DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-2403
Country : US
Telephone Number : 702-806-5268
Fax Number :
Provider Business Practice Location Address
First Line : 5426 VEGAS DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-2403
Country : US
Telephone Number : 702-806-5268
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : NICHOLAS NEUBAUER
Credential : LCSW
Telephone Number : 702-806-5268
Provider Enumeration Date : 12/02/2015
Last Update Date : 03/07/2016

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Directions to “IN TOUCH MENTAL HEALTH, LLC ” Practice Location

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