| Glass House Counseling Agency | |
|
1800 E. Sahara Ave Suite 202 Las Vegas NV 89104 | |
| (702) 586-8693 | |
| (702) 476-2690 |
| Full Name | Glass House Counseling Agency |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1800 E. Sahara Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Marie D Westmoreland (CEO/OWNER) |
| Authorized Official Contact | 7025868693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glass House Counseling Agency 1800 E. Sahara Ave Suite 202 Las Vegas NV 89104 Ph: (702) 586-8693 | Glass House Counseling Agency 1800 E. Sahara Ave Suite 202 Las Vegas NV 89104 Ph: (702) 586-8693 |
| NPI Number | 1649576471 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 10/13/2021 |
| Certification Date | 10/13/2021 |
| Medicare PECOS PAC ID | 3476817099 |
|---|---|
| Medicare Enrollment ID | O20180508001386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649576471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20101206652 (Nevada) | Primary |
| Provider Name | Claire Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780814210 PECOS PAC ID: 7416840582 Enrollment ID: I20150601000784 |
| Provider Name | David M Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114209749 PECOS PAC ID: 2668732694 Enrollment ID: I20180212001617 |
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