MEDICARE: PROGRESS HEALTH NETWORK 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
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1356291421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESS HEALTH NETWORK LLC

Provider Business Mailing Address
First Line	:	732 S 6TH ST STE 8021
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6948
Country	:	US
Telephone Number	:	818-308-5195
Fax Number	:

Provider Business Practice Location Address
First Line	:	732 S 6TH ST STE 8021
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6948
Country	:	US
Telephone Number	:	818-308-5195
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NADEZDA LEAVITT
Credential	:
Telephone Number	:	818-308-5195

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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Directions to “PROGRESS HEALTH NETWORK LLC ” Practice Location

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