MEDICARE: CREATING EMPOWERMENT SERVICES

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1912481532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREATING EMPOWERMENT SERVICES

Provider Business Mailing Address
First Line	:	6640 W CHEYENNE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4931
Country	:	US
Telephone Number	:	775-375-0676
Fax Number	:

Provider Business Practice Location Address
First Line	:	6640 W CHEYENNE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4931
Country	:	US
Telephone Number	:	775-375-0676
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAMEKA ROSHE DAVIS
Credential	:
Telephone Number	:	702-487-1534

Provider Enumeration Date	:	09/19/2018
Last Update Date	:	09/19/2018

Similar Medicare Providers

1316454291 — FULLERLOVE LLC
Practice Location Address:

4931 W CRAIG RD # 1
LAS VEGAS, NV
89130-2730

Practice Phone: 702-218-9915
Practice Fax:

1447803499 — LILIAN GOMEZ
Practice Location Address:

319 W CLEVELAND AVE APT 5
LAS VEGAS, NV
89102-4931

Practice Phone: 786-525-4809
Practice Fax:

1669193579 — ARELYS TAMARA PEREZ
Practice Location Address:

319 W CLEVELAND AVE APT 1
LAS VEGAS, NV
89102-4931

Practice Phone: 725-710-5986
Practice Fax:

1386361285 — FELICIA ROMANO
Practice Location Address:

8305 ASHKUM AVE
LAS VEGAS, NV
89149-4931

Practice Phone: 720-345-3600
Practice Fax:

1053663450 — TERRANCE ALFONSO WILLIAMS JR.
Practice Location Address:

5317 REDBERRY ST
LAS VEGAS, NV
89108-4019

Practice Phone: 702-371-7970
Practice Fax:

1407710940 — KRISTIE LYNN RUESCH BCBA
Practice Location Address:

2490 MAVERICK ST
LAS VEGAS, NV
89108-3824

Practice Phone: 702-799-1883
Practice Fax: 702-799-1884

Directions to “CREATING EMPOWERMENT SERVICES ” 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.