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NPI Code Detail

MEDICARE: REHAB DIRECTIVES LLC

MEDICARE: REHAB DIRECTIVES 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
1103TM1800XIntellectual & Developmental Disabilities Psychologist
2101Y00000XCounselor

General Provider Information

NPI Number : 1285185280
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHAB DIRECTIVES LLC
Provider Business Mailing Address
First Line : 3213 W CHARLESTON BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1991
Country : US
Telephone Number : 702-570-6222
Fax Number : 702-570-6234
Provider Business Practice Location Address
First Line : 3213 W CHARLESTON BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1991
Country : US
Telephone Number : 702-570-6222
Fax Number : 702-570-6234
Authorized Official
Title or Position : GENERAL MANAGER
Name : DAVID GILBERT
Credential : LMT
Telephone Number : 702-570-6222
Provider Enumeration Date : 10/14/2016
Last Update Date : 10/14/2016

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Directions to “REHAB DIRECTIVES LLC ” Practice Location

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