| Virgin Valley Mental Health Llc | |
|
736 W Pioneer Blvd Ste 108 Mesquite NV 89027-8890 | |
| (702) 807-3289 | |
| Not Available |
| Full Name | Virgin Valley Mental Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 736 W Pioneer Blvd Ste 108, Mesquite, Nevada |
| Authorized Official Name and Position | David Taylor (PRESIDENT) |
| Authorized Official Contact | 7028073289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virgin Valley Mental Health Llc 157 Pebble Creek Hts Mesquite NV 89027-5323 Ph: (702) 807-3289 | Virgin Valley Mental Health Llc 736 W Pioneer Blvd Ste 108 Mesquite NV 89027-8890 Ph: (702) 807-3289 |
| NPI Number | 1851027643 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Medicare PECOS PAC ID | 3678958006 |
|---|---|
| Medicare Enrollment ID | O20220921000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851027643 | NPI | - | NPPES |
| 1881903581 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | David William Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881903581 PECOS PAC ID: 4587049911 Enrollment ID: I20220921000783 |
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