MENTAL EDGE THERAPY PROFESSIONAL LLC (NPI# 1447850144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447850144 |
| Entity Type | Organization |
| Organization Name | MENTAL EDGE THERAPY PROFESSIONAL LLC |
| Practice Address |
2520 St. Rose Parkway Suite 220-a (219) Las Vegas NV 89120 |
| Practice Telephone | 7024831990 |
| Mailing Telephone | 7024831990 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | MRS. NICOLE MCDONAGH (OFFICER) |
| Authorized Official Telephone | 7024831990 |
| Authorized Official Credential | CPC-I, LADC, C.H |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799915 | Mental Edge Therapy Professional LLC | Counselor | 2520 Saint Rose Pkwy Ste 220a, Henderson, NV 89074-7789 | 2020-10-28 |
| Street Address |
2520 ST. ROSE PARKWAY SUITE 220-A (219) |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896877 | Global Behavior Analyst | Behavioral Analyst | 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 | 2020-09-23 |
| 1225656804 | Michael Y Chang Md PC | Anesthesiology | 2700 Sunset Rd B18, Las Vegas, NV 89120 | 2020-07-09 |
| 1053962142 | Arlene M Mcmillen | Technician | 3321 Casey Drive, Apt 104 Bldg 15, Las Vegas, NV 89120 | 2019-09-20 |
| 1942858634 | Michael A Fortunato Md Pllc | Anesthesiology | Michael A Fortunato, Md Pllc, 2700 Sunset Rd #b18, Las Vegas, NV 89120 | 2019-08-27 |
| 1023664521 | Christine White | Behavior Technician | 8431 Sunset Road, Suite 110, Henderson, NV 89120 | 2019-08-12 |
| 1922653435 | David Stefon Mayo | Technician | 3960 E. Patrick Lane, Suite 202., Las Vegas, NV 89120 | 2019-08-02 |
| 1346893724 | Joseph Acuna | Technician | 3960 E. Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-24 |
| 1588217582 | Va Natasha Manutai | Technician | 3980 E Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-18 |
| 1811557788 | Fidencia Gutierrez | Chore Provider | 2690 Chandler Ave. Ste. 1, Ste. 1, Las Vegas, NV 89120 | 2019-06-13 |
| 1013576156 | Heather Mbele | Technician | 2700 E Sunset Rd 17, Bldg B, Las Vegas, NV 89120 | 2019-06-12 |
| Find all providers in zip 89120 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073042362 | Darrian Raquel Silva | Psychologist | 222 S Rainbow Blvd Ste 114, Las Vegas, NV 89145-5343 | 2017-06-08 |
| 1164965927 | A Care In Touch LLC | Psychologist | 3132 N Jones Blvd Apt 245, Las Vegas, NV 89108-6575 | 2016-11-28 |
| 1639417264 | Carmen Judith Rosario Dominguez | Psychologist | 7509 Perla Del Mar Ave, Las Vegas, NV 89179-2500 | 2013-01-16 |
| 1699046649 | Teodoro Tovalin Jr. | Psychologist | 6520 Brook Cottage Ln, Las Vegas, NV 89122-0847 | 2012-01-23 |
| 1679753149 | Jerry Leandro Coca | Psychologist | Hc 80 Box 365, Las Vegas, NM 87701-8959 | 2007-11-13 |
| 1659492981 | Jeanne White | Psychologist | 2121 N Las Vegas Blvd, Las Vegas, NV 89030 | 2007-04-03 |
| 1922140433 | Brian Joseph Bauduin | Psychologist | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2007-02-12 |
| 1306456181 | Eagle Mind Health Services LLC | Psychologist | 1250 Burnham Ave, Las Vegas, NV 89104-1921 | 2020-08-05 |
| 1871101097 | A Better Way Behavioral Services Inc | Psychologist | 6392 Mcleod Dr Ste 1, Las Vegas, NV 89120-4417 | 2020-07-14 |
| 1184270902 | Amanda Denyce Parks | Psychologist | 3227 E Warm Springs Rd Ste 300, Las Vegas, NV 89120-3180 | 2019-08-16 |
| 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.