MEDICARE: YAHSEMIN AYANNA LENNAN 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	MF001831	PA
2	106H00000X	Marriage & Family Therapist	4718-R	NV
3	106H00000X	Marriage & Family Therapist	143130	CA

General Provider Information

NPI Number	:	1356096200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAHSEMIN AYANNA LENNAN LMFT

Provider Business Mailing Address
First Line	:	3328 FAMIGLIA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-3452
Country	:	US
Telephone Number	:	909-782-1373
Fax Number	:

Provider Business Practice Location Address
First Line	:	3328 FAMIGLIA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-3452
Country	:	US
Telephone Number	:	909-782-1373
Fax Number	:

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

Provider Enumeration Date	:	02/18/2022
Last Update Date	:	05/14/2026

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