| Elements Of Motivation Llc | |
|
7040 Laredo St Ste K Las Vegas NV 89117-3044 | |
| (702) 331-4874 | |
| Not Available |
| Full Name | Elements Of Motivation Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7040 Laredo St Ste K, Las Vegas, Nevada |
| Authorized Official Name and Position | Diana Marie Saunders (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 7023314874 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elements Of Motivation Llc 7040 Laredo St Ste K Las Vegas NV 89117-3044 Ph: (702) 331-4874 | Elements Of Motivation Llc 7040 Laredo St Ste K Las Vegas NV 89117-3044 Ph: (702) 331-4874 |
| NPI Number | 1457644023 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 06/01/2020 |
| Certification Date | 06/01/2020 |
| Medicare PECOS PAC ID | 5294150744 |
|---|---|
| Medicare Enrollment ID | O20200731000861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457644023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Beatriz A Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366640419 PECOS PAC ID: 4880817279 Enrollment ID: I20150323000736 |
| Provider Name | Gary E Brundage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861707036 PECOS PAC ID: 2264701481 Enrollment ID: I20170703000873 |
| Provider Name | Dawayla S Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881226702 PECOS PAC ID: 0749600856 Enrollment ID: I20201012000623 |
| Provider Name | Michael Sorensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215384839 PECOS PAC ID: 2961841077 Enrollment ID: I20240422001299 |
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