MEDICARE: MRS. EDWINA CHARLOTTE MUNDAY-KELLER 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
1	171M00000X	Case Manager/Care Coordinator
2	106H00000X	Marriage & Family Therapist	3191	NV

General Provider Information

NPI Number	:	1801181623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EDWINA CHARLOTTE MUNDAY-KELLER LMFT

Provider Business Mailing Address
First Line	:	4572 FLAMING RIDGE TRL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-7925
Country	:	US
Telephone Number	:	702-726-1828
Fax Number	:

Provider Business Practice Location Address
First Line	:	3230 S BUFFALO DR STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2506
Country	:	US
Telephone Number	:	702-410-9090
Fax Number	:	888-337-4551

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

Provider Enumeration Date	:	06/09/2011
Last Update Date	:	03/11/2021

Similar Medicare Providers

1487956587 — MR. MICHAEL J BROWN
Practice Location Address:

3230 S BUFFALO DR STE 101
LAS VEGAS, NV
89117-2506

Practice Phone: 888-337-4551
Practice Fax:

1700167624 — MS. MAYA NEAL LMFT
Practice Location Address:

3230 S BUFFALO DR STE 107
LAS VEGAS, NV
89117-2506

Practice Phone: 702-283-1068
Practice Fax:

1891077582 — SAMRA BASTIAN LMFT
Practice Location Address:

3230 S BUFFALO DR STE 107
LAS VEGAS, NV
89117-2506

Practice Phone: 702-606-2230
Practice Fax: 702-254-3146

1205182292 — INTEGRATED MEDICAL GROUP INC
Practice Location Address:

3230 S BUFFALO DR STE 105
LAS VEGAS, NV
89117-2506

Practice Phone: 702-985-2533
Practice Fax: 702-253-7288

1285979658 — FUTURE FOUNDATIONS SERVICES LLC
Practice Location Address:

3230 S BUFFALO DR STE 101
LAS VEGAS, NV
89117-2506

Practice Phone: 888-337-4551
Practice Fax:

1295075943 — CHRISTY BROWN
Practice Location Address:

3230 S BUFFALO DR STE 101
LAS VEGAS, NV
89117-2506

Practice Phone: 888-337-4551
Practice Fax:

Directions to “ MRS. EDWINA CHARLOTTE MUNDAY-KELLER LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.