MEDICARE: LAS VEGAS THERAPY CENTER 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
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1568330660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAS VEGAS THERAPY CENTER LLC

Provider Business Mailing Address
First Line	:	2605 S DECATUR BLVD STE 123
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8592
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2605 S DECATUR BLVD # 123616
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8591
Country	:	US
Telephone Number	:	702-461-8845
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JULIE ROBINSON
Credential	:
Telephone Number	:	702-461-8845

Provider Enumeration Date	:	10/29/2025
Last Update Date	:	10/29/2025

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Directions to “LAS VEGAS THERAPY CENTER LLC ” Practice Location

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