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NPI Code Detail

MEDICARE: SHIH PHYLLIS LEE MS, CPC-I

MEDICARE: SHIH PHYLLIS LEE MS, CPC-I
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
1101YM0800XMental Health CounselorCI5434NV

General Provider Information

NPI Number : 1780418582
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIH PHYLLIS LEE MS, CPC-I
Provider Business Mailing Address
First Line : 7493 MOJAVE WIND AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4713
Country : US
Telephone Number : 702-343-0807
Fax Number :
Provider Business Practice Location Address
First Line : 5550 PAINTED MIRAGE RD STE 380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4727
Country : US
Telephone Number : 702-343-0807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2024
Last Update Date : 08/27/2024

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