| Vr Therapy Las Vegas, Inc. | |
|
2518 Anthem Village Dr Ste 103 Henderson NV 89052-5554 | |
| (702) 824-9639 | |
| (725) 214-3420 |
| Full Name | Vr Therapy Las Vegas, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2518 Anthem Village Dr Ste 103, Henderson, Nevada |
| Authorized Official Name and Position | Jeremy Gallas (PRESIDENT) |
| Authorized Official Contact | 7028249639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vr Therapy Las Vegas, Inc. 1489 W Warm Springs Rd Ste 110 Henderson NV 89014-7367 Ph: (702) 824-9639 | Vr Therapy Las Vegas, Inc. 2518 Anthem Village Dr Ste 103 Henderson NV 89052-5554 Ph: (702) 824-9639 |
| NPI Number | 1033669627 |
|---|---|
| Provider Enumeration Date | 10/07/2016 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Medicare PECOS PAC ID | 0648559708 |
|---|---|
| Medicare Enrollment ID | O20161111001361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033669627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY0790 (Nevada) | Primary |
| Provider Name | Jeremy S Gallas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851840656 PECOS PAC ID: 4688953755 Enrollment ID: I20161111001691 |
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