Tracie L Timme, MS, LCPC | |
8945 W Russell Rd Ste 110, Las Vegas, NV 89148-1225 | |
(702) 476-9294 | |
Not Available |
Full Name | Tracie L Timme |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 8945 W Russell Rd Ste 110, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467096156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CP5379 (Nevada) | Primary |
Entity Name | Mental Health Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811600265 PECOS PAC ID: 4284007469 Enrollment ID: O20230309000937 |
Entity Name | Genesis New Beginnings Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144850736 PECOS PAC ID: 6901242593 Enrollment ID: O20240305004521 |
Mailing Address | Practice Location Address |
---|---|
Tracie L Timme, MS, LCPC 8945 W Russell Rd Ste 110, Las Vegas, NV 89148-1225 Ph: (702) 476-9294 | Tracie L Timme, MS, LCPC 8945 W Russell Rd Ste 110, Las Vegas, NV 89148-1225 Ph: (702) 476-9294 |
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