| Multicultural Counseling Collaborative, Inc. | |
|
2920 S Jones Blvd Ste 225 Las Vegas NV 89146-5622 | |
| (702) 476-6395 | |
| (702) 485-1278 |
| Full Name | Multicultural Counseling Collaborative, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2920 S Jones Blvd Ste 225, Las Vegas, Nevada |
| Authorized Official Name and Position | Lorie Alston (OFFICE MANAGER) |
| Authorized Official Contact | 5087524665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multicultural Counseling Collaborative, Inc. 2920 S Jones Blvd Ste 225 Las Vegas NV 89146-5622 Ph: (702) 476-6395 | Multicultural Counseling Collaborative, Inc. 2920 S Jones Blvd Ste 225 Las Vegas NV 89146-5622 Ph: (702) 476-6395 |
| NPI Number | 1669910543 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 10/24/2018 |
| Medicare PECOS PAC ID | 0042562845 |
|---|---|
| Medicare Enrollment ID | O20181005000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669910543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Holly A Andres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033172028 PECOS PAC ID: 9335160233 Enrollment ID: I20051207000507 |
| Provider Name | Gregory D Burden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215174156 PECOS PAC ID: 4688854318 Enrollment ID: I20110211000553 |
| Provider Name | Muhammad Hyder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013085257 PECOS PAC ID: 7012957368 Enrollment ID: I20111102000430 |
| Provider Name | Debra Maddox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194847079 PECOS PAC ID: 5193984292 Enrollment ID: I20240123003724 |
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