| Recovery Psychiatric Services, Llc | |
|
4431 S Eastern Ave Ste 1 Las Vegas NV 89119-7850 | |
| (702) 823-3003 | |
| Not Available |
| Full Name | Recovery Psychiatric Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4431 S Eastern Ave Ste 1, Las Vegas, Nevada |
| Authorized Official Name and Position | Fidelis Moseri (OWNER) |
| Authorized Official Contact | 7027139257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Psychiatric Services, Llc 4431 S Eastern Ave Ste 1 Las Vegas NV 89119-7850 Ph: (702) 823-3003 | Recovery Psychiatric Services, Llc 4431 S Eastern Ave Ste 1 Las Vegas NV 89119-7850 Ph: (702) 823-3003 |
| NPI Number | 1144787292 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 03/01/2019 |
| Medicare PECOS PAC ID | 8628303146 |
|---|---|
| Medicare Enrollment ID | O20190703003100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144787292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Pius E Ehiane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962801951 PECOS PAC ID: 8022313865 Enrollment ID: I20160510002342 |
| Provider Name | Fidelis Moseri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275916611 PECOS PAC ID: 5698945202 Enrollment ID: I20170824002666 |
| Provider Name | Kelly Jo Koehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003480179 PECOS PAC ID: 9032509955 Enrollment ID: I20211208003610 |
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