MEDICARE: ASHLEY NORWOOD

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

General Provider Information

NPI Number	:	1740075316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY NORWOOD

Provider Business Mailing Address
First Line	:	304 S JONES BLVD STE 4255
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2623
Country	:	US
Telephone Number	:	702-410-8718
Fax Number	:

Provider Business Practice Location Address
First Line	:	5516 BOULDER HWY STE 2F-263
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-6000
Country	:	US
Telephone Number	:	702-881-1234
Fax Number	:

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

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	04/14/2025

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Directions to “ ASHLEY NORWOOD ” Practice Location

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