MEDICARE: DR. YVETTE GILMORE-WHEELER PH.D.

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	225400000X	Rehabilitation Practitioner		NV
2	101YP1600X	Pastoral Counselor	13441	FL
3	101Y00000X	Counselor	13441	FL

General Provider Information

NPI Number	:	1700193976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YVETTE GILMORE-WHEELER PH.D.

Provider Business Mailing Address
First Line	:	730 W CHEYENNE AVE STE 40
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89030-7849
Country	:	US
Telephone Number	:	702-862-6997
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 W CHEYENNE AVE STE 60
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89030-7850
Country	:	US
Telephone Number	:	702-862-6997
Fax Number	:

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

Provider Enumeration Date	:	09/08/2010
Last Update Date	:	02/25/2026

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