Wellness Behavioral Health Services Llc | |
1701 Wellness Way Las Vegas NV 89106-4108 | |
(702) 310-9110 | |
(702) 366-0231 |
Full Name | Wellness Behavioral Health Services Llc |
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Speciality | Community/Behavioral Health |
Location | 1701 Wellness Way, Las Vegas, Nevada |
Authorized Official Name and Position | Monica Rios (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 7023109110 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellness Behavioral Health Services Llc 1701 Wellness Way # 200 Las Vegas NV 89106-4108 Ph: (702) 310-9110 | Wellness Behavioral Health Services Llc 1701 Wellness Way Las Vegas NV 89106-4108 Ph: (702) 310-9110 |
NPI Number | 1215402672 |
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Provider Enumeration Date | 10/11/2018 |
Last Update Date | 10/09/2019 |
Medicare PECOS PAC ID | 9638400526 |
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Medicare Enrollment ID | O20191206001258 |
Identifier | Type | State | Issuer |
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1215402672 | NPI | - | NPPES |
Provider Name | Adaobi U Ezeanolue |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275988115 PECOS PAC ID: 9830417971 Enrollment ID: I20160906001588 |
Provider Name | Melissa Kalodner |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1730113168 PECOS PAC ID: 8022441112 Enrollment ID: I20191203002723 |
Provider Name | Sung J Cho |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1770789307 PECOS PAC ID: 0840383618 Enrollment ID: I20201030000867 |
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