MEDICARE: MELISSA MOLENDA

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	225C00000X	Rehabilitation Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1962885962	OTHER	NV	NPPES

General Provider Information

NPI Number	:	1962885962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MOLENDA

Provider Business Mailing Address
First Line	:	1500 E TROPICANA AVE STE 180
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-8314
Country	:	US
Telephone Number	:	756-820-0207
Fax Number	:	702-995-6509

Provider Business Practice Location Address
First Line	:	1500 E TROPICANA AVE STE 180
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-8314
Country	:	US
Telephone Number	:	775-682-0020
Fax Number	:	702-995-6509

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

Provider Enumeration Date	:	07/08/2015
Last Update Date	:	10/08/2020

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Directions to “ MELISSA MOLENDA ” Practice Location

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