| Seed Therapy Llc | |
|
10655 Park Run Dr Ste 210 Las Vegas NV 89144-4590 | |
| (833) 234-7333 | |
| Not Available |
| Full Name | Seed Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10655 Park Run Dr Ste 210, Las Vegas, Nevada |
| Authorized Official Name and Position | Elizabeth Serna (OWNER) |
| Authorized Official Contact | 7022783853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seed Therapy Llc 1909 Peyton Stewart Ct North Las Vegas NV 89086-1381 Ph: () - | Seed Therapy Llc 10655 Park Run Dr Ste 210 Las Vegas NV 89144-4590 Ph: (833) 234-7333 |
| NPI Number | 1255901807 |
|---|---|
| Provider Enumeration Date | 06/27/2021 |
| Last Update Date | 06/27/2021 |
| Certification Date | 06/27/2021 |
| Medicare PECOS PAC ID | 1557762481 |
|---|---|
| Medicare Enrollment ID | O20210629001779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255901807 | NPI | - | NPPES |
| 1821481748 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth A Serna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821481748 PECOS PAC ID: 8921409871 Enrollment ID: I20210629002463 |
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