| Green Valley Therapy | |
|
1070 W Horizon Ridge Pkwy Ste 210 Henderson NV 89012-6020 | |
| (702) 219-7597 | |
| Not Available |
| Full Name | Green Valley Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 1070 W Horizon Ridge Pkwy Ste 210, Henderson, Nevada |
| Authorized Official Name and Position | Jennifer K Pietrzak (PRESIDENT) |
| Authorized Official Contact | 7022197597 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Valley Therapy 1070 W Horizon Ridge Pkwy Ste 210 Henderson NV 89012-6020 Ph: (702) 219-7597 | Green Valley Therapy 1070 W Horizon Ridge Pkwy Ste 210 Henderson NV 89012-6020 Ph: (702) 219-7597 |
| NPI Number | 1427571637 |
|---|---|
| Provider Enumeration Date | 07/19/2017 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 6305117706 |
|---|---|
| Medicare Enrollment ID | O20170803001224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427571637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer K Pietrzak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699854331 PECOS PAC ID: 5597756890 Enrollment ID: I20040524000797 |
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