| Beach Therapy | |
|
3652 N Rancho Dr Suite 102 Las Vegas NV 89130-3178 | |
| (702) 334-6162 | |
| (702) 515-0660 |
| Full Name | Beach Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3652 N Rancho Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Kelly Beach (OWNER) |
| Authorized Official Contact | 7023346162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Therapy 3652 N Rancho Dr Suite 102 Las Vegas NV 89130-3178 Ph: (702) 334-6162 | Beach Therapy 3652 N Rancho Dr Suite 102 Las Vegas NV 89130-3178 Ph: (702) 334-6162 |
| NPI Number | 1316244981 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 01/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316244981 | NPI | - | NPPES |
| 100512262 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 01076 (Nevada) | Primary |
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