MEDICARE: AHH THERAPY LLC

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	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851067722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHH THERAPY LLC

Provider Business Mailing Address
First Line	:	8321 BELLO CIRCONDA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-8257
Country	:	US
Telephone Number	:	916-753-8309
Fax Number	:

Provider Business Practice Location Address
First Line	:	570 W CHEYENNE AVE STE 190
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-3983
Country	:	US
Telephone Number	:	702-350-1898
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. DEJA FUIMAONO
Credential	:	MSW, LCSW, C-DBT
Telephone Number	:	916-753-8309

Provider Enumeration Date	:	08/19/2021
Last Update Date	:	02/15/2025

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Directions to “AHH THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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