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NPI Code Detail

MEDICARE: 2ND TO NONE THERAPEUTIC LLC

MEDICARE: 2ND TO NONE THERAPEUTIC 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1346093374
Entity Type Code : Organization
Provider Name (Legal Business Name) : 2ND TO NONE THERAPEUTIC LLC
Provider Business Mailing Address
First Line : 4650 RANCH HOUSE RD UNIT 94
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4602
Country : US
Telephone Number : 702-557-0265
Fax Number :
Provider Business Practice Location Address
First Line : 4650 RANCH HOUSE RD UNIT 94
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4602
Country : US
Telephone Number : 702-557-0265
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TONYA BALDWIN
Credential :
Telephone Number : 702-557-0265
Provider Enumeration Date : 04/09/2024
Last Update Date : 04/09/2024

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Directions to “2ND TO NONE THERAPEUTIC LLC ” Practice Location

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