MEDICARE: LESHAY D DANIELS LMFT

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	106H00000X	Marriage & Family Therapist	4938	NV

General Provider Information

NPI Number	:	1336410075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESHAY D DANIELS LMFT

Provider Business Mailing Address
First Line	:	2755 E DESERT INN RD STE 260
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3690
Country	:	US
Telephone Number	:	860-577-0057
Fax Number	:

Provider Business Practice Location Address
First Line	:	6415 S FORT APACHE RD STE 185-1044
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-6744
Country	:	US
Telephone Number	:	860-577-0057
Fax Number	:

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

Provider Enumeration Date	:	01/25/2012
Last Update Date	:	02/14/2025

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