MEDICARE: ROI COUNSELING, 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	101YA0400X	Addiction (Substance Use Disorder) Counselor	01564-L	NV
2	101YM0800X	Mental Health Counselor	CI0149	NV

General Provider Information

NPI Number	:	1619343845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROI COUNSELING, LLC

Provider Business Mailing Address
First Line	:	6955 N DURANGO DR
Second Line	:	STE 11115-104
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4411
Country	:	US
Telephone Number	:	702-816-2595
Fax Number	:	702-816-2574

Provider Business Practice Location Address
First Line	:	5017 ALTA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-3937
Country	:	US
Telephone Number	:	702-816-2595
Fax Number	:	702-816-2574

Authorized Official
Title or Position	:	CLINICAL DIRECTOR/OWNER
Name	:	MS. AMBER TARLTON
Credential	:	MS, NCC, CPC-I, LADC
Telephone Number	:	702-816-2595

Provider Enumeration Date	:	08/11/2015
Last Update Date	:	08/11/2015

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