MEDICARE: MS. LOKELANI PEARSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	103K00000X	Behavior Analyst
4	3747P1801X	Personal Care Attendant
5	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1285939793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LOKELANI PEARSON

Provider Business Mailing Address
First Line	:	9104 TOAST AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4914
Country	:	US
Telephone Number	:	725-204-0402
Fax Number	:

Provider Business Practice Location Address
First Line	:	9104 TOAST AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4914
Country	:	US
Telephone Number	:	725-204-0402
Fax Number	:

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

Provider Enumeration Date	:	01/13/2011
Last Update Date	:	01/07/2021

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