TYRON MALLARD (NPI# 1275909889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275909889 |
Entity Type | Individual |
Full Name | TYRON MALLARD |
Credential | MSW, LMHC, CPC |
Practice Address |
6171 W Charleston Blvd Bldg 10 Las Vegas NV 89146-1126 |
Mailing Address |
2001 S Jones Blvd Ste J Las Vegas NV 89146-3165 |
Practice Telephone | 7024868187 |
Mailing Telephone | 7028031570 |
Enumeration Date | 2015-08-18 |
Last Update Date | 2020-05-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
CP0227 | NV | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | CP0227 | 05 |
Street Address |
6171 W CHARLESTON BLVD BLDG 10 |
City | LAS VEGAS |
State | NV |
Zip Code | 89146-1126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649570862 | Marcela Soledad Aguirre | Rehabilitation Counselor | 6171 W Charleston Blvd Bldg 10, Las Vegas, NV 89146-1126 | 2010-10-22 |
1902425242 | Danielle Fields | Case Manager/Care Coordinator | 6171 W Charleston Blvd Bldg 10, Las Vegas, NV 89146-1126 | 2020-04-15 |
1497218283 | Bryan Masaru Okamura | Counselor | 6171 W Charleston Blvd Bldg 10, Las Vegas, NV 89146-1126 | 2019-04-09 |
1467915249 | Donnetta Battle | Counselor | 6171 W Charleston Blvd Bldg 10, Las Vegas, NV 89146-1126 | 2019-04-09 |
1609350313 | Barbara Blake | Case Management | 6171 W Charleston Blvd Bldg 10, Las Vegas, NV 89146-1126 | 2018-09-18 |
1629591235 | Jasmin Pimentel-camio | Rehabilitation Practitioner | 6171 W Charleston Blvd Bldg 10, Las Vegas, NV 89146-1126 | 2017-07-25 |
1396131322 | Toni Ivy | Counselor | 6171 W Charleston Blvd Bldg 10, Las Vegas, NV 89146-1126 | 2015-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
Find all providers in zip 89146 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497839 | Joseph Javier | Counselor | 526 S Tonopah Dr Ste 140, Las Vegas, NV 89106-4044 | 2020-11-05 |
1881206605 | Healing and Wholeness | Counselor | 9634 Hawk Cliff Ave, Las Vegas, NV 89148-4716 | 2020-08-21 |
1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
1700408978 | New Perspectives Behavioral Health LLC | Counselor | 725 Jacobs Ladder Pl, Las Vegas, NV 89138-7540 | 2020-05-11 |
1265075139 | Dennis Patrick Smith | Counselor | 2225 E Flamingo Rd Ste 102, Las Vegas, NV 89119-5126 | 2019-10-23 |
1083268577 | Taylor D Bull | Counselor | 7251 Vireo Dr, Las Vegas, NV 89147-4645 | 2019-08-01 |
1801351440 | Kathleen Marie Davis | Counselor | 2574 Olay St, Las Vegas, NV 89142-2801 | 2019-02-07 |
1770048613 | Natalie King | Counselor | 7260 Las Vegas Blvd S # 210, Las Vegas, NV 89119-4020 | 2019-02-05 |
1699257402 | Beth Asaf | Counselor | 2309 Renaissance Dr Ste B, Las Vegas, NV 89119-6160 | 2018-08-29 |
1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
Find all providers in LAS VEGAS |
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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.