| Arevalo Counseling & Mentoring, Llc | |
|
1070 W Horizon Ridge Pkwy Ste 210 Henderson NV 89012-6020 | |
| (702) 970-3535 | |
| (702) 441-0915 |
| Full Name | Arevalo Counseling & Mentoring, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1070 W Horizon Ridge Pkwy Ste 210, Henderson, Nevada |
| Authorized Official Name and Position | Souneh Arevalo (CO-OWNER) |
| Authorized Official Contact | 7028099185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arevalo Counseling & Mentoring, Llc 4857 Nardini Ave Las Vegas NV 89141-3823 Ph: (702) 970-3535 | Arevalo Counseling & Mentoring, Llc 1070 W Horizon Ridge Pkwy Ste 210 Henderson NV 89012-6020 Ph: (702) 970-3535 |
| NPI Number | 1427550599 |
|---|---|
| Provider Enumeration Date | 03/05/2018 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Medicare PECOS PAC ID | 5991152688 |
|---|---|
| Medicare Enrollment ID | O20231117001921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427550599 | NPI | - | NPPES |
| 1033305412 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Souneh Arevalo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033305412 PECOS PAC ID: 0446608137 Enrollment ID: I20240228002481 |
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