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NPI Code Detail

MEDICARE: NEW DIMENSIONS THERAPY INC

MEDICARE: NEW DIMENSIONS THERAPY INC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor01140-LNV
21041C0700XClinical Social Worker01882CNV

General Provider Information

NPI Number : 1336254168
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW DIMENSIONS THERAPY INC
Provider Business Mailing Address
First Line : 2441 TECH CENTER CT
Second Line : SUITE 103
City : LAS VEGAS
State : NV
Zip : 89128-0804
Country : US
Telephone Number : 702-318-8260
Fax Number : 702-648-2348
Provider Business Practice Location Address
First Line : 2441 TECH CENTER CT
Second Line : SUITE 103
City : LAS VEGAS
State : NV
Zip : 89128-0804
Country : US
Telephone Number : 702-318-8260
Fax Number : 702-648-2348
Authorized Official
Title or Position : LCSW / PRESIDENT
Name : MR. ERMA H PIASTA
Credential : MSW,
Telephone Number : 702-318-8260
Provider Enumeration Date : 08/20/2006
Last Update Date : 09/02/2008

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Directions to “NEW DIMENSIONS THERAPY INC ” Practice Location

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