MR. PHILIP EDWARD GLESSNER


Address: 8350 W Sahara Ave Ste 130, Las Vegas, NV 89117-8940
Phone: 7022585711

MR. PHILIP EDWARD GLESSNER (NPI# 1124044938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124044938
Entity Type Individual
Full Name MR. PHILIP EDWARD GLESSNER
Credential MFT, LADC
Practice Address 8350 W Sahara Ave Ste 130
Las Vegas
NV 89117-8940
Practice Telephone 7022585711
Practice Fax Number 7022581304
Mailing Telephone 7022585711
Mailing Fax Number 7022581304
Enumeration Date 2006-07-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LADC #782 NV Behavioral Health & Social Service Providers
X 101YM0800X Counselor
Specialization: Mental Health
MFT #0694 NV Behavioral Health & Social Service Providers

Office Location

Street Address 8350 W SAHARA AVE STE 130
City LAS VEGAS
State NV
Zip Code 89117-8940

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790212900 The Institute of Autism and Neurodevelopment Clinic/Center 8350 W Sahara Ave Ste 130, Las Vegas, NV 89117-8940 2017-05-18

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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