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NPI Code Detail

MEDICARE: THE EMPOWERMENT CENTRE, LLC

MEDICARE: THE EMPOWERMENT CENTRE, LLC
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) Counselor00178NV
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3106H00000XMarriage & Family Therapist01099NV

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 : 1720384845
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE EMPOWERMENT CENTRE, LLC
Provider Business Mailing Address
First Line : 3520 E TROPICANA AVE STE 2C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-7310
Country : US
Telephone Number : 702-605-2766
Fax Number : 702-938-9056
Provider Business Practice Location Address
First Line : 3520 E TROPICANA AVE STE 2C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-7310
Country : US
Telephone Number : 702-551-4732
Fax Number : 702-938-9056
Authorized Official
Title or Position : MANAGING MEMBER
Name : MRS. RAMONA BEASLEY
Credential : MFT
Telephone Number : 702-551-4732
Provider Enumeration Date : 02/08/2011
Last Update Date : 10/23/2025

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Directions to “THE EMPOWERMENT CENTRE, LLC ” Practice Location

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