MEDICARE: CES 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1982082053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CES SERVICES

Provider Business Mailing Address
First Line	:	5721 MOUNT IDA ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3450
Country	:	US
Telephone Number	:	702-863-5563
Fax Number	:

Provider Business Practice Location Address
First Line	:	5721 MOUNT IDA ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3450
Country	:	US
Telephone Number	:	702-863-5563
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. AUDREY FAYE LIGGINS
Credential	:
Telephone Number	:	702-863-5563

Provider Enumeration Date	:	05/11/2015
Last Update Date	:	05/11/2015

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Directions to “CES SERVICES ” Practice Location

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