| New Life Counseling Deyoung Lcsw Pllc | |
|
8565 S Eastern Ave Ste 140 Las Vegas NV 89123-2906 | |
| (702) 239-7182 | |
| Not Available |
| Full Name | New Life Counseling Deyoung Lcsw Pllc |
|---|---|
| Speciality | Counselor |
| Location | 8565 S Eastern Ave Ste 140, Las Vegas, Nevada |
| Authorized Official Name and Position | Elizabeth Deyoung (OWNER) |
| Authorized Official Contact | 7022397182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Counseling Deyoung Lcsw Pllc Po Box 232141 Las Vegas NV 89105-2141 Ph: (702) 239-7182 | New Life Counseling Deyoung Lcsw Pllc 8565 S Eastern Ave Ste 140 Las Vegas NV 89123-2906 Ph: (702) 239-7182 |
| NPI Number | 1902362833 |
|---|---|
| Provider Enumeration Date | 02/15/2019 |
| Last Update Date | 04/25/2019 |
| Medicare PECOS PAC ID | 3072856814 |
|---|---|
| Medicare Enrollment ID | O20190520001548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902362833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Alisa A Caraker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841556339 PECOS PAC ID: 8628221249 Enrollment ID: I20130110000339 |
| Provider Name | Elizabeth J Deyoung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942639273 PECOS PAC ID: 3476782111 Enrollment ID: I20140129001399 |
| Provider Name | Heidi Renee Garwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265834097 PECOS PAC ID: 0547672149 Enrollment ID: I20201223000455 |
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