| Lifeologie Counseling Henderson | |
|
880 Seven Hills Dr Ste 200 Henderson NV 89052-4373 | |
| (702) 635-7651 | |
| Not Available |
| Full Name | Lifeologie Counseling Henderson |
|---|---|
| Speciality | Counselor |
| Location | 880 Seven Hills Dr Ste 200, Henderson, Nevada |
| Authorized Official Name and Position | Sarah Taormino (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7026357651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeologie Counseling Henderson 880 Seven Hills Dr Ste 200 Henderson NV 89052-4373 Ph: (702) 635-7651 | Lifeologie Counseling Henderson 880 Seven Hills Dr Ste 200 Henderson NV 89052-4373 Ph: (702) 635-7651 |
| NPI Number | 1720790249 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 04/07/2023 |
| Certification Date | 04/07/2023 |
| Medicare PECOS PAC ID | 6709250202 |
|---|---|
| Medicare Enrollment ID | O20230324000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720790249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Magdalena Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912491168 PECOS PAC ID: 2961743240 Enrollment ID: I20190415002131 |
| Provider Name | Estrella P Evangelista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114445756 PECOS PAC ID: 9739560855 Enrollment ID: I20220721000872 |
| Provider Name | Elona Halili |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831690825 PECOS PAC ID: 9133592264 Enrollment ID: I20230310000479 |
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