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NPI Code Detail

MEDICARE: MADELAINE HEIDI COQUELET-MEYER MFT, LCADC

MEDICARE: MADELAINE HEIDI COQUELET-MEYER MFT, LCADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor518-LCNV
2106H00000XMarriage & Family Therapist2571NV

General Provider Information

NPI Number : 1669768396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELAINE HEIDI COQUELET-MEYER MFT, LCADC
Provider Business Mailing Address
First Line : 9317 LOTUS ELAN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-7103
Country : US
Telephone Number : 702-418-6401
Fax Number : 702-849-9540
Provider Business Practice Location Address
First Line : 8430 W LAKE MEAD BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-7674
Country : US
Telephone Number : 702-849-9540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2011
Last Update Date : 07/22/2023

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