| Genesis New Beginnings Llc | |
|
8945 W Russell Rd Ste 110 Las Vegas NV 89148-1225 | |
| (702) 476-9294 | |
| (702) 442-9538 |
| Full Name | Genesis New Beginnings Llc |
|---|---|
| Speciality | Counselor |
| Location | 8945 W Russell Rd Ste 110, Las Vegas, Nevada |
| Authorized Official Name and Position | Taisha Kaaialii (OWNER) |
| Authorized Official Contact | 7024769294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis New Beginnings Llc 8945 W Russell Rd Ste 110 Las Vegas NV 89148-1225 Ph: (702) 476-9294 | Genesis New Beginnings Llc 8945 W Russell Rd Ste 110 Las Vegas NV 89148-1225 Ph: (702) 476-9294 |
| NPI Number | 1144850736 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Medicare PECOS PAC ID | 6901242593 |
|---|---|
| Medicare Enrollment ID | O20240305004521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144850736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Monika Muy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982008603 PECOS PAC ID: 6406208297 Enrollment ID: I20240117002492 |
| Provider Name | Taisha M K Kaaialii |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083073027 PECOS PAC ID: 6002268802 Enrollment ID: I20240117002614 |
| Provider Name | Sarah J Willard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871985184 PECOS PAC ID: 3779935572 Enrollment ID: I20240117002790 |
| Provider Name | Jamie L Gillette |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972990588 PECOS PAC ID: 4587016399 Enrollment ID: I20240117002867 |
| Provider Name | Kendra L Bott |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639580459 PECOS PAC ID: 1557713369 Enrollment ID: I20240117002941 |
| Provider Name | Kara N Wattoo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265729099 PECOS PAC ID: 8426400235 Enrollment ID: I20240117003032 |
| Provider Name | Tracie L Timme |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467096156 PECOS PAC ID: 6406208214 Enrollment ID: I20240117003144 |
| Provider Name | Tonja L Vallin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457948200 PECOS PAC ID: 2567814387 Enrollment ID: I20240117003261 |
| Provider Name | Jennifer Nguyen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467000893 PECOS PAC ID: 4183076904 Enrollment ID: I20240117003346 |
| Provider Name | Precious L Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952985046 PECOS PAC ID: 1052755675 Enrollment ID: I20240221004109 |
| Provider Name | Jonathen R Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942540786 PECOS PAC ID: 4284070616 Enrollment ID: I20240307003857 |
| Provider Name | Sandra D Simanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992938385 PECOS PAC ID: 1850287525 Enrollment ID: I20240417002922 |
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