MEDICARE: UNLV MEDICINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker
3	106H00000X	Marriage & Family Therapist
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1538694575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNLV MEDICINE

Provider Business Mailing Address
First Line	:	3016 W CHARLESTON BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1973
Country	:	US
Telephone Number	:	702-895-0497
Fax Number	:	702-895-0074

Provider Business Practice Location Address
First Line	:	3016 W CHARLESTON BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1973
Country	:	US
Telephone Number	:	702-895-0497
Fax Number	:	702-895-0074

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOANN STROBBE
Credential	:	M.ED
Telephone Number	:	702-272-1352

Provider Enumeration Date	:	04/27/2017
Last Update Date	:	08/15/2022

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