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NPI Code Detail

MEDICARE: TAYHESIA DARBY-ROGERS

MEDICARE:   TAYHESIA  DARBY-ROGERS
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

General Provider Information

NPI Number : 1447751821
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYHESIA DARBY-ROGERS
Provider Business Mailing Address
First Line : PO BOX 231187
Second Line :
City : LAS VEGAS
State : NV
Zip : 89105-1187
Country : US
Telephone Number : 424-246-1367
Fax Number :
Provider Business Practice Location Address
First Line : 1950 N WALNUT RD APT 255
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-6478
Country : US
Telephone Number : 702-801-3171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2018
Last Update Date : 02/22/2018

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Directions to “ TAYHESIA DARBY-ROGERS ” Practice Location

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