MEDICARE: SILVIA ELZY

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1205265105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILVIA ELZY

Provider Business Mailing Address
First Line	:	5185 CAMINO AL NORTE STE 120
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89031-2416
Country	:	US
Telephone Number	:	702-927-3036
Fax Number	:

Provider Business Practice Location Address
First Line	:	5185 CAMINO AL NORTE STE 120
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89031-2416
Country	:	US
Telephone Number	:	702-927-3036
Fax Number	:

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

Provider Enumeration Date	:	11/01/2013
Last Update Date	:	11/01/2013

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Directions to “ SILVIA ELZY ” Practice Location

Language	Start Address	Practice Location

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