| Clinical Counseling Services | |
|
8766 S Maryland Pkwy Ste 107 Las Vegas NV 89123-6701 | |
| (702) 467-7256 | |
| (844) 965-9650 |
| Full Name | Clinical Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8766 S Maryland Pkwy Ste 107, Las Vegas, Nevada |
| Authorized Official Name and Position | Kc Jo West (OWNER) |
| Authorized Official Contact | 7024677256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Counseling Services 8766 S Maryland Pkwy Ste 107 Las Vegas NV 89123-6701 Ph: (702) 467-7256 | Clinical Counseling Services 8766 S Maryland Pkwy Ste 107 Las Vegas NV 89123-6701 Ph: (702) 467-7256 |
| NPI Number | 1144754870 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 04/19/2017 |
| Medicare PECOS PAC ID | 0446680300 |
|---|---|
| Medicare Enrollment ID | O20200417001367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144754870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20151300623 (Nevada) | Primary |
| Provider Name | Kc West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376945758 PECOS PAC ID: 0345678330 Enrollment ID: I20200325003405 |
| Provider Name | Christy Rood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598304420 PECOS PAC ID: 7315378031 Enrollment ID: I20200513002581 |
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