| Amber Smiley Pllc | |
|
3370 Wasatch Cedars St Las Vegas NV 89122-3573 | |
| (702) 578-4689 | |
| Not Available |
| Full Name | Amber Smiley Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3370 Wasatch Cedars St, Las Vegas, Nevada |
| Authorized Official Name and Position | Amber Smiley (OWNER) |
| Authorized Official Contact | 7025784689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Smiley Pllc 3370 Wasatch Cedars St Las Vegas NV 89122-3573 Ph: () - | Amber Smiley Pllc 3370 Wasatch Cedars St Las Vegas NV 89122-3573 Ph: (702) 578-4689 |
| NPI Number | 1538829767 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 12/29/2021 |
| Certification Date | 12/29/2021 |
| Medicare PECOS PAC ID | 8022460336 |
|---|---|
| Medicare Enrollment ID | O20240122003951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538829767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Amber Smiley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700467354 PECOS PAC ID: 9931551249 Enrollment ID: I20240122004018 |
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