| Mental Health Counseling And Wellness Center Inc. | |
|
320 E Warm Springs Rd Unit 1 Las Vegas NV 89119-4243 | |
| (702) 602-5250 | |
| (702) 602-5251 |
| Full Name | Mental Health Counseling And Wellness Center Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 320 E Warm Springs Rd Unit 1, Las Vegas, Nevada |
| Authorized Official Name and Position | Martin Binyange (PRESIDENT) |
| Authorized Official Contact | 7026025250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Counseling And Wellness Center Inc. 320 E Warm Springs Rd, Unit 1 Las Vegas NV 89119-4243 Ph: (702) 602-5250 | Mental Health Counseling And Wellness Center Inc. 320 E Warm Springs Rd Unit 1 Las Vegas NV 89119-4243 Ph: (702) 602-5250 |
| NPI Number | 1497276232 |
|---|---|
| Provider Enumeration Date | 07/02/2017 |
| Last Update Date | 06/30/2024 |
| Certification Date | 06/30/2024 |
| Medicare PECOS PAC ID | 8426322207 |
|---|---|
| Medicare Enrollment ID | O20170918000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497276232 | NPI | - | NPPES |
| V52423 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Martin Binyange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558757021 PECOS PAC ID: 6305166133 Enrollment ID: I20150519002000 |
| Provider Name | Ashly Juliet Koehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326679572 PECOS PAC ID: 7719315811 Enrollment ID: I20200324003105 |
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