| Counseling And Neuro Dynamics Llc. | |
|
6655 W Sahara Ave # 106 Las Vegas NV 89146-0842 | |
| (773) 619-2001 | |
| Not Available |
| Full Name | Counseling And Neuro Dynamics Llc. |
|---|---|
| Speciality | Counselor |
| Location | 6655 W Sahara Ave # 106, Las Vegas, Nevada |
| Authorized Official Name and Position | Devone Verse (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7736192001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Neuro Dynamics Llc. 5940 S Rainbow Blvd Ste 1004 Las Vegas NV 89118-2506 Ph: (773) 619-2001 | Counseling And Neuro Dynamics Llc. 6655 W Sahara Ave # 106 Las Vegas NV 89146-0842 Ph: (773) 619-2001 |
| NPI Number | 1063075513 |
|---|---|
| Provider Enumeration Date | 04/19/2019 |
| Last Update Date | 06/07/2021 |
| Certification Date | 06/07/2021 |
| Medicare PECOS PAC ID | 9133549074 |
|---|---|
| Medicare Enrollment ID | O20201015000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063075513 | NPI | - | NPPES |
| NV20191302412 | Other | NV | NEVADA BUSINESS LICENSE |
| Provider Name | Sean Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770997926 PECOS PAC ID: 3678794328 Enrollment ID: I20141021002070 |
| Provider Name | Dominique Roumain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144570078 PECOS PAC ID: 6103064407 Enrollment ID: I20220811003111 |
| Provider Name | Wyatt Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598462533 PECOS PAC ID: 5597139543 Enrollment ID: I20230315000558 |
| Provider Name | Martin Louis Apt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336839364 PECOS PAC ID: 2062874548 Enrollment ID: I20230815003781 |
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