| Trac-b Exchange Llc | |
|
6114 W Charleston Blvd Las Vegas NV 89146-1127 | |
| (702) 840-6693 | |
| Not Available |
| Full Name | Trac-b Exchange Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6114 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Chelsi Cheatom (PROGRAM MANAGER) |
| Authorized Official Contact | 7028406693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trac-b Exchange Llc 6540 Bradley Rd Las Vegas NV 89131-2913 Ph: (702) 840-6693 | Trac-b Exchange Llc 6114 W Charleston Blvd Las Vegas NV 89146-1127 Ph: (702) 840-6693 |
| NPI Number | 1194340471 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 06/11/2020 |
| Certification Date | 06/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194340471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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