| Delphi Mental Health Llc | |
|
1489 W Warm Springs Rd Ste 110 Henderson NV 89014-7367 | |
| (702) 670-2725 | |
| Not Available |
| Full Name | Delphi Mental Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1489 W Warm Springs Rd Ste 110, Henderson, Nevada |
| Authorized Official Name and Position | Margaret C Davidson (OWNER) |
| Authorized Official Contact | 7026702725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delphi Mental Health Llc 1489 W Warm Springs Rd Ste 110 Henderson NV 89014-7367 Ph: (702) 670-2725 | Delphi Mental Health Llc 1489 W Warm Springs Rd Ste 110 Henderson NV 89014-7367 Ph: (702) 670-2725 |
| NPI Number | 1639745672 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 07/29/2021 |
| Certification Date | 07/29/2021 |
| Medicare PECOS PAC ID | 1658776778 |
|---|---|
| Medicare Enrollment ID | O20210826002908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639745672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Margaret C Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063842045 PECOS PAC ID: 3971925744 Enrollment ID: I20200624001288 |
| Provider Name | Jaclyn Mustachio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386162147 PECOS PAC ID: 3173991734 Enrollment ID: I20221201003060 |
| Provider Name | Alexandra Nicole Givens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245689116 PECOS PAC ID: 6103272232 Enrollment ID: I20231026001201 |
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