| Ascending Minds Lv | |
|
5510 S Fort Apache Rd Ste 458 Las Vegas NV 89148-7700 | |
| (347) 517-9485 | |
| Not Available |
| Full Name | Ascending Minds Lv |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5510 S Fort Apache Rd Ste 458, Las Vegas, Nevada |
| Authorized Official Name and Position | Kaydian Woolery (MANAGER) |
| Authorized Official Contact | 3475179485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascending Minds Lv 5510 S Fort Apache Rd Ste 458 Las Vegas NV 89148-7700 Ph: () - | Ascending Minds Lv 5510 S Fort Apache Rd Ste 458 Las Vegas NV 89148-7700 Ph: (347) 517-9485 |
| NPI Number | 1356026454 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 06/18/2023 |
| Certification Date | 06/18/2023 |
| Medicare PECOS PAC ID | 5395104293 |
|---|---|
| Medicare Enrollment ID | O20241007000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356026454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kaydian Woolery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619536588 PECOS PAC ID: 6204295108 Enrollment ID: I20241007000202 |
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