| Empowering Minds Therapeutic Services | |
|
10629 Caldera Canyon Ct Las Vegas NV 89129-8692 | |
| (415) 259-1211 | |
| Not Available |
| Full Name | Empowering Minds Therapeutic Services |
|---|---|
| Speciality | Social Worker |
| Location | 10629 Caldera Canyon Ct, Las Vegas, Nevada |
| Authorized Official Name and Position | Skarlet D Forwood (OWNER) |
| Authorized Official Contact | 4152591211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Minds Therapeutic Services 304 S Jones Blvd # 2329 Las Vegas NV 89107-2623 Ph: (702) 234-3311 | Empowering Minds Therapeutic Services 10629 Caldera Canyon Ct Las Vegas NV 89129-8692 Ph: (415) 259-1211 |
| NPI Number | 1851914329 |
|---|---|
| Provider Enumeration Date | 05/19/2020 |
| Last Update Date | 05/19/2020 |
| Certification Date | 05/19/2020 |
| Medicare PECOS PAC ID | 1355761040 |
|---|---|
| Medicare Enrollment ID | O20201019002257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851914329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Skarlet D Forwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710242375 PECOS PAC ID: 5395044564 Enrollment ID: I20160422001320 |
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