| Independent Counselors Of Las Vegas | |
|
6900 Westcliff Dr Ste 504 Las Vegas NV 89145-0198 | |
| (702) 778-9875 | |
| (702) 778-9863 |
| Full Name | Independent Counselors Of Las Vegas |
|---|---|
| Speciality | Social Worker |
| Location | 6900 Westcliff Dr Ste 504, Las Vegas, Nevada |
| Authorized Official Name and Position | Leonard Eugene Deforge (ADMIN) |
| Authorized Official Contact | 0277789875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Counselors Of Las Vegas 7621 Genesis Ct Las Vegas NV 89128-7290 Ph: (702) 778-9875 | Independent Counselors Of Las Vegas 6900 Westcliff Dr Ste 504 Las Vegas NV 89145-0198 Ph: (702) 778-9875 |
| NPI Number | 1104326438 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Medicare PECOS PAC ID | 4880959337 |
|---|---|
| Medicare Enrollment ID | O20180604001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104326438 | NPI | - | NPPES |
| 1033327580 | Other | NV | 1041C0700X |
| 100532491 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Nevada) | Primary |
| Provider Name | Warren J Wheatley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033327580 PECOS PAC ID: 1557585791 Enrollment ID: I20140610001089 |
Cc Youth Empowerment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8070 W Russell Rd, Apt 1065, Las Vegas, NV 89113 Phone: 702-610-4153 | |
Creating Empowerment Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4773 Madrid Ridge Ct, Las Vegas, NV 89129 Phone: 702-656-9890 Fax: 702-656-9152 | |
No Obstacles Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8565 S Eastern Ave, Suite 174, Las Vegas, NV 89123 Phone: 702-462-3082 | |
The Village Behavior Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Mcleod Dr, Suite 4&5, Las Vegas, NV 89120 Phone: 702-437-0341 | |
Lovelife Family Services L.l.c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120 Phone: 702-754-3484 Fax: 702-629-7952 | |
Nevada State Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3450 E Russell Rd Ste 105l, Las Vegas, NV 89120 Phone: 702-714-1648 | |
Journey Community Health Organization Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6512 N Decatur Blvd, Suite 130-114, Las Vegas, NV 89131 Phone: 702-830-2481 Fax: 702-664-0648 |