| Pathfinders Therapy And Consulting, Pllc | |
|
7368 N Decatur Blvd Unit 3 Las Vegas NV 89131-3070 | |
| (702) 630-3458 | |
| Not Available |
| Full Name | Pathfinders Therapy And Consulting, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 7368 N Decatur Blvd Unit 3, Las Vegas, Nevada |
| Authorized Official Name and Position | Fantanesh Angaw (OWNER/CLINICIAN) |
| Authorized Official Contact | 7026303458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathfinders Therapy And Consulting, Pllc 4780 W Ann Rd Unit 5-301 North Las Vegas NV 89031-3470 Ph: (702) 630-3458 | Pathfinders Therapy And Consulting, Pllc 7368 N Decatur Blvd Unit 3 Las Vegas NV 89131-3070 Ph: (702) 630-3458 |
| NPI Number | 1326780255 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 06/01/2022 |
| Certification Date | 06/01/2022 |
| Medicare PECOS PAC ID | 8022496959 |
|---|---|
| Medicare Enrollment ID | O20220606002743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326780255 | NPI | - | NPPES |
| 132474289 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Fantanesh Angaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326474289 PECOS PAC ID: 5991125577 Enrollment ID: I20201020003655 |
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