DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MICHELLE GRAVLEY, P.C.

MEDICARE: MICHELLE GRAVLEY, P.C.
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
1251S00000XCommunity/Behavioral Health AgencyPY0381NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639470743
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHELLE GRAVLEY, P.C.
Provider Business Mailing Address
First Line : 2445 FIRE MESA ST
Second Line : SUITE 190
City : LAS VEGAS
State : NV
Zip : 89128-9014
Country : US
Telephone Number : 702-212-3008
Fax Number : 702-933-3064
Provider Business Practice Location Address
First Line : 2445 FIRE MESA ST
Second Line : SUITE 190
City : LAS VEGAS
State : NV
Zip : 89128-9014
Country : US
Telephone Number : 702-212-3008
Fax Number : 702-933-3064
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. MICHELLE GRAVLEY
Credential : PSY.D.
Telephone Number : 702-212-3008
Provider Enumeration Date : 11/04/2010
Last Update Date : 11/04/2010

Similar Medicare Providers

1578520896 — DR. RICHARD J BRALLIAR DO
Practice Location Address:
2445 FIRE MESA ST , 270
LAS VEGAS, NV
89128-9014
Practice Phone: 702-876-9330
Practice Fax: 702-876-9061
1992000384 — LINDIA DARLIAN KEY
Practice Location Address:
2445 FIRE MESA ST , #190
LAS VEGAS, NV
89128-9014
Practice Phone: 702-212-3008
Practice Fax: 702-933-3064
1699071340 — CLINICAL SOLUTIONS LLC
Practice Location Address:
2445 FIRE MESA ST , 190
LAS VEGAS, NV
89128-9014
Practice Phone: 702-212-3008
Practice Fax:
1043591696 — JACOB PARAS REED
Practice Location Address:
2445 FIRE MESA ST
LAS VEGAS, NV
89128-9014
Practice Phone: 702-212-3008
Practice Fax: 702-933-3006
1629352554 — VICTOR ARMANDI
Practice Location Address:
2445 FIRE MESA ST
LAS VEGAS, NV
89128-9014
Practice Phone: 702-212-3008
Practice Fax:
1780922021 — KRISTIN JAMES
Practice Location Address:
2445 FIRE MESA ST
LAS VEGAS, NV
89128-9014
Practice Phone: 702-212-3308
Practice Fax:

Directions to “MICHELLE GRAVLEY, P.C. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.