| Kiva Counseling Llc | |
|
9418 W Lake Mead Blvd Las Vegas NV 89134-8312 | |
| (702) 509-0533 | |
| (702) 445-6454 |
| Full Name | Kiva Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9418 W Lake Mead Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Kiva S Hutton (THERAPIST) |
| Authorized Official Contact | 7025090533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiva Counseling Llc 9418 W Lake Mead Blvd Las Vegas NV 89134-8312 Ph: (702) 509-0533 | Kiva Counseling Llc 9418 W Lake Mead Blvd Las Vegas NV 89134-8312 Ph: (702) 509-0533 |
| NPI Number | 1417330861 |
|---|---|
| Provider Enumeration Date | 07/02/2015 |
| Last Update Date | 07/07/2015 |
| Medicare PECOS PAC ID | 4587970371 |
|---|---|
| Medicare Enrollment ID | O20150824001752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417330861 | NPI | - | NPPES |
| HE772Z | Other | NV | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5446-C (Nevada) | Primary |
| Provider Name | Kiva S Hutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053542407 PECOS PAC ID: 2961640115 Enrollment ID: I20130529000408 |
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