Liane Etsuko Taylan, | |
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
(702) 653-2273 | |
Not Available |
Full Name | Liane Etsuko Taylan |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205109543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10330-C (Nevada) | Primary |
Entity Name | Legacy Health And Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457600645 PECOS PAC ID: 9335363118 Enrollment ID: O20140618000244 |
Mailing Address | Practice Location Address |
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Liane Etsuko Taylan, 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273 | Liane Etsuko Taylan, 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273 |
Dr. Connor Patrick Mulcahey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Adriana C Ottonelli, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3880 | |
Alexis Mercado-canty, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Jacey Cole Cortega, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Melanie A Prevost, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2397 | |
Charu Stokes-williams, LICSW, BCD, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Mr. Elijah Askia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3880 |