| Domiano-sader Therapy Llc. | |
|
9550 S Eastern Ave Suite 220 Las Vegas NV 89123-8038 | |
| (702) 292-8711 | |
| (702) 451-9157 |
| Full Name | Domiano-sader Therapy Llc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9550 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Nancy Domiano-sader (MANAGING PARTNER) |
| Authorized Official Contact | 7029451600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Domiano-sader Therapy Llc. 9550 S Eastern Ave Suite 220 Las Vegas NV 89123-8038 Ph: (702) 945-1600 | Domiano-sader Therapy Llc. 9550 S Eastern Ave Suite 220 Las Vegas NV 89123-8038 Ph: (702) 292-8711 |
| NPI Number | 1710252275 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 05/11/2016 |
| Medicare PECOS PAC ID | 6901197797 |
|---|---|
| Medicare Enrollment ID | O20160825001400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710252275 | NPI | - | NPPES |
| 11890842 | Other | NV | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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