Tough Love Counseling Services, Llc | |
3890 W Ann Rd Ste 108 North Las Vegas NV 89031-4417 | |
(702) 287-8895 | |
(702) 952-5442 |
Full Name | Tough Love Counseling Services, Llc |
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Speciality | Social Worker |
Location | 3890 W Ann Rd Ste 108, North Las Vegas, Nevada |
Authorized Official Name and Position | Ashley Coleman (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 7022878895 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tough Love Counseling Services, Llc 6337 Sterling Ranch Way N Las Vegas NV 89081-6713 Ph: (702) 287-8895 | Tough Love Counseling Services, Llc 3890 W Ann Rd Ste 108 North Las Vegas NV 89031-4417 Ph: (702) 287-8895 |
NPI Number | 1205375086 |
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Provider Enumeration Date | 02/14/2017 |
Last Update Date | 11/10/2022 |
Certification Date | 11/10/2022 |
Medicare PECOS PAC ID | 1052689635 |
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Medicare Enrollment ID | O20170622003015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205375086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 7370-C (Nevada) | Primary |
Provider Name | Ashley Coleman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902117088 PECOS PAC ID: 2961770540 Enrollment ID: I20170628000203 |
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