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2441 Tech Center Ct Suite 103 Las Vegas NV 89128-0804 | |
| (702) 318-8260 | |
| (702) 648-2348 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2441 Tech Center Ct, Las Vegas, Nevada |
| Authorized Official Name and Position | Erma H Piasta (LCSW / PRESIDENT) |
| Authorized Official Contact | 7023188260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2441 Tech Center Ct Suite 103 Las Vegas NV 89128-0804 Ph: (702) 318-8260 | 2441 Tech Center Ct Suite 103 Las Vegas NV 89128-0804 Ph: (702) 318-8260 |
| NPI Number | 1336254168 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 09/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336254168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 01140-L (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | 01882C (Nevada) | Primary |
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