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NPI Code Detail

MEDICARE: CADENCE CLINICAL COUNSELING & SUPERVISION LLC

MEDICARE: CADENCE CLINICAL COUNSELING & SUPERVISION 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
12084P0800XPsychiatry Physician
2251S00000XCommunity/Behavioral Health Agency
3101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1427890292
Entity Type Code : Organization
Provider Name (Legal Business Name) : CADENCE CLINICAL COUNSELING & SUPERVISION LLC
Provider Business Mailing Address
First Line : 100 E WARM SPRINGS RD
Second Line : BUILDING 1 UNIT 413
City : HENDERSON
State : NV
Zip : 89011
Country : US
Telephone Number : 702-208-4983
Fax Number :
Provider Business Practice Location Address
First Line : 8215 S EASTERN AVE STE 109
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2515
Country : US
Telephone Number : 702-208-4983
Fax Number :
Authorized Official
Title or Position : OWNER
Name : STEPHANIE ROSS- COPES
Credential :
Telephone Number : 702-208-4983
Provider Enumeration Date : 06/11/2024
Last Update Date : 12/18/2024

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Directions to “CADENCE CLINICAL COUNSELING & SUPERVISION LLC ” Practice Location

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