MEDICARE: ANITA PENALOZA

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1679995484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA PENALOZA

Provider Business Mailing Address
First Line	:	3318 N DECATUR BLVD UNIT 2055
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3252
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3318 N DECATUR BLVD UNIT 2055
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3252
Country	:	US
Telephone Number	:	702-724-5092
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2014
Last Update Date	:	01/13/2014

Similar Medicare Providers

1134127566 — DR. THOMAS J PUHEK DDS
Practice Location Address:

3431 E SUNSET RD , SUITE #301
LAS VEGAS, NV
89120-3252

Practice Phone: 702-435-3901
Practice Fax: 702-435-1378

1710261292 — AVERY PAPESH
Practice Location Address:

3431 E SUNSET RD BLDG C , STE 303-23
LAS VEGAS, NV
89120-3252

Practice Phone: 702-686-8807
Practice Fax: 702-413-6364

1447517693 — NICOLE ANDERSON
Practice Location Address:

3252 PALIO AVE
LAS VEGAS, NV
89141-3433

Practice Phone: 702-217-8244
Practice Fax:

1851806772 — KRISTAIN THOMPSON
Practice Location Address:

6471 AMERICAN EAGLE AVE
LAS VEGAS, NV
89131-3252

Practice Phone: 800-892-0640
Practice Fax:

1841800554 — RESET BEHAVIOR LLC
Practice Location Address:

6471 AMERICAN EAGLE AVE
LAS VEGAS, NV
89131-3252

Practice Phone: 702-339-5565
Practice Fax:

1356917918 — MRS. MELISSA KENYON BCBA, LBA
Practice Location Address:

6471 AMERICAN EAGLE AVE
LAS VEGAS, NV
89131-3252

Practice Phone: 702-339-5565
Practice Fax:

Directions to “ ANITA PENALOZA ” 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.