| Therapy Today Behavioral Health Llc | |
|
6655 W Sahara Ave Ste B200 Las Vegas NV 89146-2832 | |
| (702) 629-6982 | |
| (702) 893-7717 |
| Full Name | Therapy Today Behavioral Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6655 W Sahara Ave Ste B200, Las Vegas, Nevada |
| Authorized Official Name and Position | Nicol Kanani Aiu (DIRECTOR) |
| Authorized Official Contact | 8083687561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Today Behavioral Health Llc 6655 W Sahara Ave Ste B200 Las Vegas NV 89146-2832 Ph: (702) 629-6982 | Therapy Today Behavioral Health Llc 6655 W Sahara Ave Ste B200 Las Vegas NV 89146-2832 Ph: (702) 629-6982 |
| NPI Number | 1306200845 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 07/30/2021 |
| Certification Date | 07/30/2021 |
| Medicare PECOS PAC ID | 0244653632 |
|---|---|
| Medicare Enrollment ID | O20200701002128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306200845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20161211233 (Nevada) | Primary |
| Provider Name | Gary E Brundage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861707036 PECOS PAC ID: 2264701481 Enrollment ID: I20170703000873 |
| Provider Name | Cristy Dawn Oconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972047629 PECOS PAC ID: 4183996127 Enrollment ID: I20170825000218 |
| Provider Name | Dithra Ann Cotton-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487159182 PECOS PAC ID: 0749539161 Enrollment ID: I20180817002985 |
| Provider Name | Alisa Anne Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518481712 PECOS PAC ID: 1456782291 Enrollment ID: I20200512002609 |
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