MEDICARE: CHARACTER COUNTS MENTORING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251S00000X	Community/Behavioral Health Agency	NV

General Provider Information

NPI Number	:	1730621608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARACTER COUNTS MENTORING

Provider Business Mailing Address
First Line	:	5548 AYERS CLIFF ST
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89081-2462
Country	:	US
Telephone Number	:	702-842-4246
Fax Number	:

Provider Business Practice Location Address
First Line	:	5548 AYERS CLIFF ST
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89081-2462
Country	:	US
Telephone Number	:	702-842-4246
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS BRANDIE ALINE FELTUS
Credential	:
Telephone Number	:	702-842-4246

Provider Enumeration Date	:	11/09/2016
Last Update Date	:	05/01/2017

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