MEDICARE: CENTRE FOR PSYCHOSOCIAL REHABILITATION SERVICES

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	251B00000X	Case Management Agency		NV

General Provider Information

NPI Number	:	1366843930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRE FOR PSYCHOSOCIAL REHABILITATION SERVICES

Provider Business Mailing Address
First Line	:	8565 S EASTERN AVE
Second Line	:	#150
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2808
Country	:	US
Telephone Number	:	702-419-1262
Fax Number	:

Provider Business Practice Location Address
First Line	:	8565 S EASTERN AVE
Second Line	:	#150
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2808
Country	:	US
Telephone Number	:	702-419-1262
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MITRIECE A SUMBRY
Credential	:	QMHA
Telephone Number	:	702-419-1262

Provider Enumeration Date	:	09/14/2014
Last Update Date	:	09/14/2014

Similar Medicare Providers

1932790292 — SARA FITZGERALD PA-C
Practice Location Address:

8565 S EASTERN AVE
LAS VEGAS, NV
89123-2808

Practice Phone: 952-212-9173
Practice Fax:

1700184538 — JINU NIKI LMFT, LCADC
Practice Location Address:

8565 S EASTERN AVE
LAS VEGAS, NV
89123-2808

Practice Phone: 213-393-0522
Practice Fax:

1285924936 — TABITHA JOHNSON
Practice Location Address:

8565 S EASTERN AVE , 172
LAS VEGAS, NV
89123-2808

Practice Phone: 702-279-8200
Practice Fax:

1003157355 — NO OBSTACLES MENTAL HEALTH LLC
Practice Location Address:

8565 S EASTERN AVE , SUITE 174
LAS VEGAS, NV
89123-2808

Practice Phone: 702-462-3082
Practice Fax:

1295136786 — DIAO NURSE PRACTITIONERS LLC
Practice Location Address:

8565 S EASTERN AVE , #150
LAS VEGAS, NV
89123-2808

Practice Phone: 702-768-1109
Practice Fax:

1235587189 — KATHERINE MATTHEWS MFT-I
Practice Location Address:

8565 S EASTERN AVE , SUITE 116
LAS VEGAS, NV
89123-2808

Practice Phone: 702-708-1081
Practice Fax:

Directions to “CENTRE FOR PSYCHOSOCIAL REHABILITATION SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.