MEDICARE: BILLYE DARBE LCPC

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	225400000X	Rehabilitation Practitioner
2	101YM0800X	Mental Health Counselor	CP1197	NV

General Provider Information

NPI Number	:	1932418027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BILLYE DARBE LCPC

Provider Business Mailing Address
First Line	:	3315 E WEBB AVE
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89030-7290
Country	:	US
Telephone Number	:	702-490-9503
Fax Number	:

Provider Business Practice Location Address
First Line	:	7116 MANZANARES DR
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89084-2345
Country	:	US
Telephone Number	:	702-490-9503
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2010
Last Update Date	:	06/12/2019

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