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NPI Code Detail

MEDICARE: GIANT STEPS HEALTH & WELLNESS LLC

MEDICARE: GIANT STEPS HEALTH & WELLNESS 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
2106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1427703446
Entity Type Code : Organization
Provider Name (Legal Business Name) : GIANT STEPS HEALTH & WELLNESS LLC
Provider Business Mailing Address
First Line : 3159 BICCARI AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89044-0526
Country : US
Telephone Number : 702-471-8617
Fax Number :
Provider Business Practice Location Address
First Line : 2481 W HORIZON RIDGE PKWY STE 100
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5926
Country : US
Telephone Number : 702-471-8617
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KIMBERLY JOLYNN KERR
Credential : LMFT
Telephone Number : 702-471-8617
Provider Enumeration Date : 02/17/2022
Last Update Date : 02/17/2022

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Directions to “GIANT STEPS HEALTH & WELLNESS LLC ” Practice Location

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