MEDICARE: THERAPEUTIC SOLUTION

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1306581756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPEUTIC SOLUTION

Provider Business Mailing Address
First Line	:	4130 N MLK BLVD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-0299
Country	:	US
Telephone Number	:	702-209-5316
Fax Number	:

Provider Business Practice Location Address
First Line	:	4130 N MLK BLVD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-0299
Country	:	US
Telephone Number	:	702-209-5316
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BILLY HARRIS
Credential	:
Telephone Number	:	702-485-1313

Provider Enumeration Date	:	04/30/2022
Last Update Date	:	12/16/2024

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Directions to “THERAPEUTIC SOLUTION ” Practice Location

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