MEDICARE: GOALS 4 SUCCESS

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1891004883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOALS 4 SUCCESS

Provider Business Mailing Address
First Line	:	1700 E DESERT INN RD
Second Line	:	SUITE 409
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3242
Country	:	US
Telephone Number	:	702-940-9936
Fax Number	:	702-940-9936

Provider Business Practice Location Address
First Line	:	1700 E DESERT INN RD
Second Line	:	SUITE 409
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3242
Country	:	US
Telephone Number	:	702-940-9936
Fax Number	:	702-940-9936

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. PATRICIA ELIAS
Credential	:
Telephone Number	:	702-940-9936

Provider Enumeration Date	:	09/24/2010
Last Update Date	:	06/08/2011

Similar Medicare Providers

1437441805 — MARJORIE ANNE DACKO CM
Practice Location Address:

1700 E DESERT INN RD , SUITE 100
LAS VEGAS, NV
89169-3242

Practice Phone: 702-433-8533
Practice Fax: 702-433-8533

1538696307 — INFECTIOUS DISEASE CONSULTANT OF SOUTHERN NEVADA
Practice Location Address:

1700 E DESERT INN RD , SUITE 301
LAS VEGAS, NV
89169-3242

Practice Phone: 702-649-8009
Practice Fax: 702-492-1728

1972001238 — MR. GREGORY XAVIER LOPEZ
Practice Location Address:

1700 E DESERT INN RD STE 1700
LAS VEGAS, NV
89169-3242

Practice Phone: 702-839-1088
Practice Fax:

1912406687 — PATRICIA ROXANNE KIELION
Practice Location Address:

1700 E DESERT INN RD
LAS VEGAS, NV
89169-3242

Practice Phone: 702-839-1088
Practice Fax:

1700387446 — MAPLE MARK
Practice Location Address:

1700 E DESERT INN RD
LAS VEGAS, NV
89169-3242

Practice Phone: 702-839-1088
Practice Fax:

1336642404 — SHERYL DYNETTE SWEET
Practice Location Address:

1700 E DESERT INN RD
LAS VEGAS, NV
89169-3242

Practice Phone: 702-839-1088
Practice Fax:

Directions to “GOALS 4 SUCCESS ” 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 © 2007-2025 (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.