MEDICARE: ANA LIVIA RAMALHO TEDESCO LMFT, LSW

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	5217	NV

General Provider Information

NPI Number	:	1699139584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA LIVIA RAMALHO TEDESCO LMFT, LSW

Provider Business Mailing Address
First Line	:	5440 LOUIE LN STE 106
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-1843
Country	:	US
Telephone Number	:	702-624-9464
Fax Number	:

Provider Business Practice Location Address
First Line	:	4285 N RANCHO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3446
Country	:	US
Telephone Number	:	702-385-5331
Fax Number	:

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

Provider Enumeration Date	:	04/07/2016
Last Update Date	:	03/11/2026

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