MEDICARE: MUSTARD SEED COUNSELING CENTER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	251S00000X	Community/Behavioral Health Agency
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
4	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1912857756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUSTARD SEED COUNSELING CENTER LLC

Provider Business Mailing Address
First Line	:	1545 MELODIC LARK DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-6586
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1545 MELODIC LARK DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-6586
Country	:	US
Telephone Number	:	702-417-1366
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	RASHEDA L ANDERSON
Credential	:	LCPC
Telephone Number	:	404-437-0596

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	01/31/2026

Similar Medicare Providers

1063763555 — SOUTHWEST HEALTHCARE SOLUTIONS, LLC
Practice Location Address:

4040 N TENAYA WAY
LAS VEGAS, NV
89129-6586

Practice Phone: 619-200-1519
Practice Fax:

1669148037 — ROSA ISELA PABLOS DE CORRAL
Practice Location Address:

4652 SOLAR ECLIPSE DR
LAS VEGAS, NV
89115-6586

Practice Phone: 702-580-4083
Practice Fax:

1912996737 — DR. GARY JAMES GERACCI DDS
Practice Location Address:

185 POPOLO DR
LAS VEGAS, NV
89138-1509

Practice Phone: 702-523-1833
Practice Fax:

1467437301 — KRISTI DAWN MOORE PT
Practice Location Address:

826 CALLUNA ST
LAS VEGAS, NV
89138-4708

Practice Phone: 702-480-9249
Practice Fax:

1427038553 — DR. PAMELA L. KURTZHALS M.D.
Practice Location Address:

894 ROSEBERRY DR
LAS VEGAS, NV
89138-7559

Practice Phone: 619-962-6868
Practice Fax:

1023066958 — EMMANUEL I OKECHUKWU M.D.
Practice Location Address:

11870 TEVARE LN UNIT 2084
LAS VEGAS, NV
89138-6505

Practice Phone: 702-210-2763
Practice Fax:

Directions to “MUSTARD SEED COUNSELING CENTER LLC ” 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.