| Empowerment Center Of Southern Nevada Llc | |
|
1024 W Owens Ave Ste B Las Vegas NV 89106-2520 | |
| (702) 636-8729 | |
| (702) 441-1808 |
| Full Name | Empowerment Center Of Southern Nevada Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1024 W Owens Ave Ste B, Las Vegas, Nevada |
| Authorized Official Name and Position | Johna Gauff (OWNER) |
| Authorized Official Contact | 7027218508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerment Center Of Southern Nevada Llc 1024 W Owens Ave Ste B Las Vegas NV 89106-2520 Ph: (702) 636-8729 | Empowerment Center Of Southern Nevada Llc 1024 W Owens Ave Ste B Las Vegas NV 89106-2520 Ph: (702) 636-8729 |
| NPI Number | 1700371002 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 6709126295 |
|---|---|
| Medicare Enrollment ID | O20190320000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700371002 | NPI | - | NPPES |
| Provider Name | Michelle A Behrmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730562836 PECOS PAC ID: 4981918877 Enrollment ID: I20150805009671 |
| Provider Name | Jean-marie Swaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265805634 PECOS PAC ID: 8628374832 Enrollment ID: I20160315001693 |
| Provider Name | Kamika Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205408127 PECOS PAC ID: 9335535640 Enrollment ID: I20230922001364 |
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