MS. KRISTINA GRACE HUDDLESTON (NPI# 1538478003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538478003 |
| Entity Type | Individual |
| Full Name | MS. KRISTINA GRACE HUDDLESTON |
| Credential | MS, LMFT |
| Practice Address |
3220 Taylor Ave North Las Vegas NV 89030-7262 |
| Mailing Address |
3037 Austin Pale Ave North Las Vegas NV 89081-6406 |
| Practice Telephone | 7024668107 |
| Mailing Telephone | 7026001519 |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2019-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 2582 | NV | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3220 TAYLOR AVE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-7262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341280 | Jennifer Legree | Marriage & Family Therapist | 2455 W Cheyenne Ave Ste 100, North Las Vegas, NV 89032-4326 | 2018-09-28 |
| 1518446533 | Vyshika M Willis | Marriage & Family Therapist | 3942 Rose Canyon Dr, North Las Vegas, NV 89032-3190 | 2018-08-09 |
| 1972016939 | Tiffani Gonzalez | Marriage & Family Therapist | 1237 W Alexander Rd Apt 174, North Las Vegas, NV 89032-9092 | 2017-11-13 |
| 1669991576 | Kimberly B Allen | Marriage & Family Therapist | 2290 Mcdaniel St Ste 2b, North Las Vegas, NV 89030-6330 | 2017-09-12 |
| 1316206758 | Jenny Lyn L Ledesma | Marriage & Family Therapist | 5135 Camino Al Norte Ste 259, North Las Vegas, NV 89031-2419 | 2012-05-04 |
| 1467732891 | Christiane N Wilson-dunlap | Marriage & Family Therapist | 3606 N. Ranch Drive, Suite 142, North Las Vegas, NV 89130 | 2011-08-17 |
| 1851524326 | Community Right Consulting | Marriage & Family Therapist | 4144 Thomas Patrick Ave, North Las Vegas, NV 89032-8942 | 2009-08-31 |
| 1932343977 | R & R Residential Services LLC | Marriage & Family Therapist | 5175 Camino Al Norte, Ste. 100, North Las Vegas, NV 89031-2407 | 2009-04-21 |
| 1265608053 | Paula Antoinette Releford-harrison | Marriage & Family Therapist | 3528 Perching Bird Ln, North Las Vegas, NV 89084-2361 | 2008-05-01 |
| 1386858298 | Linda Rae Leach | Marriage & Family Therapist | 4455 Allen Lane, Ste. 3, North Las Vegas, NV 89031-2229 | 2007-05-09 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on MS. KRISTINA GRACE HUDDLESTON.
| 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.