United Citizens Foundation Inc | |
2048 N Las Vegas Blvd North Las Vegas NV 89030 | |
(702) 485-1259 | |
(702) 722-2891 |
Full Name | United Citizens Foundation Inc |
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Speciality | Community/Behavioral Health |
Location | 2048 N Las Vegas Blvd, North Las Vegas, Nevada |
Authorized Official Name and Position | Ashok Mirchandani (PRESIDENT) |
Authorized Official Contact | 7022807203 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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United Citizens Foundation Inc 4485 S Buffalo Dr Las Vegas NV 89147-5006 Ph: (702) 772-2440 | United Citizens Foundation Inc 2048 N Las Vegas Blvd North Las Vegas NV 89030 Ph: (702) 485-1259 |
NPI Number | 1669912572 |
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Provider Enumeration Date | 02/27/2017 |
Last Update Date | 10/15/2024 |
Certification Date | 10/15/2024 |
Medicare PECOS PAC ID | 8527492701 |
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Medicare Enrollment ID | O20191220001332 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669912572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Faisal Suba |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598965998 PECOS PAC ID: 9234392341 Enrollment ID: I20120529000223 |
Provider Name | Frederick E Woodard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679849004 PECOS PAC ID: 5799113080 Enrollment ID: I20200320000269 |
Provider Name | Erika Haggerty |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326302696 PECOS PAC ID: 2567871866 Enrollment ID: I20210517000739 |
Provider Name | Katelyn R Mullett |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205614500 PECOS PAC ID: 3678925161 Enrollment ID: I20240119003638 |
Provider Name | Melissa R Riggins |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1952780231 PECOS PAC ID: 5092167585 Enrollment ID: I20240119003768 |
Provider Name | Erin N Paulin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700455490 PECOS PAC ID: 9032651575 Enrollment ID: I20240612000146 |
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