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NPI Code Detail

MEDICARE: DESERT HEARTS FAMILY AND COMMUNITY SERVICES LLC

MEDICARE: DESERT HEARTS FAMILY AND COMMUNITY SERVICES 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
2251B00000XCase Management Agency
3103TC1900XCounseling Psychologist

General Provider Information

NPI Number : 1275493421
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESERT HEARTS FAMILY AND COMMUNITY SERVICES LLC
Provider Business Mailing Address
First Line : 8911 CYPRESS FOG CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-3243
Country : US
Telephone Number : 702-981-9080
Fax Number :
Provider Business Practice Location Address
First Line : 8911 CYPRESS FOG CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-3243
Country : US
Telephone Number : 702-981-9080
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LAQUIENTA KIRBY
Credential : RN
Telephone Number : 702-981-9080
Provider Enumeration Date : 11/12/2025
Last Update Date : 11/12/2025

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Directions to “DESERT HEARTS FAMILY AND COMMUNITY SERVICES LLC ” Practice Location

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