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NPI Code Detail

MEDICARE: ALLY LIFECOACHING SERVICES LLC

MEDICARE: ALLY LIFECOACHING SERVICES 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1437955507
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLY LIFECOACHING SERVICES LLC
Provider Business Mailing Address
First Line : 9402 W LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-8312
Country : US
Telephone Number : 702-340-1357
Fax Number :
Provider Business Practice Location Address
First Line : 9402 W LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134
Country : US
Telephone Number : 702-340-1357
Fax Number :
Authorized Official
Title or Position : OWNER/PSYCHOTHERAPIST
Name : KAREN LINDSAY
Credential : LCSW
Telephone Number : 702-340-1357
Provider Enumeration Date : 02/20/2025
Last Update Date : 06/03/2026

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Directions to “ALLY LIFECOACHING SERVICES LLC ” Practice Location

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