TYRON MALLARD


Address: 6171 W Charleston Blvd Bldg 10, Las Vegas, NV 89146-1126
Phone: 7024868187

TYRON MALLARD (NPI# 1275909889) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
CP0227 NV Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV CP0227 05

Office Location

Street Address 6171 W CHARLESTON BLVD BLDG 10
City LAS VEGAS
State NV
Zip Code 89146-1126

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

Search similar providers

City LAS VEGAS
Zip Code 89146

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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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