MEDICARE: L I F E COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	103TC0700X	Clinical Psychologist
3	1041C0700X	Clinical Social Worker
4	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1912445511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L I F E COUNSELING LLC

Provider Business Mailing Address
First Line	:	6655 W SAHARA AVE STE D110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0846
Country	:	US
Telephone Number	:	702-365-0600
Fax Number	:	702-365-0602

Provider Business Practice Location Address
First Line	:	6655 W SAHARA AVE STE D110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0846
Country	:	US
Telephone Number	:	702-365-0600
Fax Number	:	702-365-0602

Authorized Official
Title or Position	:	CEO
Name	:	ASHER ADELMAN
Credential	:
Telephone Number	:	702-365-0600

Provider Enumeration Date	:	02/03/2017
Last Update Date	:	11/19/2019

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