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NPI Code Detail

MEDICARE: MR. DE SHAWN CHILDS LMFT

MEDICARE: MR. DE SHAWN CHILDS LMFT
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
1106H00000XMarriage & Family Therapist3318NV

General Provider Information

NPI Number : 1801102637
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DE SHAWN CHILDS LMFT
Provider Business Mailing Address
First Line : 8880 W SUNSET RD STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5014
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8880 W SUNSET RD STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5014
Country : US
Telephone Number : 725-302-7381
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2010
Last Update Date : 05/28/2025

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Directions to “ MR. DE SHAWN CHILDS LMFT” Practice Location

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