FANTASI PRIDGON


Address: 1555 E Flamingo Rd Ste 158, Las Vegas, NV 89119-9305
Phone: 7023859097

FANTASI PRIDGON (NPI# 1578907408) 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) 1578907408
Entity Type Individual
Full Name FANTASI PRIDGON
Practice Address 1555 E Flamingo Rd Ste 158
Las Vegas
NV 89119-9305
Mailing Address 820 Midpride St
Las Vegas
NV 89144-1345
Practice Telephone 7023859097
Mailing Telephone 7025133447
Enumeration Date 2013-04-22
Last Update Date 2013-04-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 1555 E FLAMINGO RD STE 158
City LAS VEGAS
State NV
Zip Code 89119-9305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932447976 Joseph Edward Lewis Counselor 1555 E Flamingo Rd Ste 158, Las Vegas, NV 89119-9305 2013-01-25
1629517685 Pmg Healthy Living Services, LLC Community/Behavioral Health 1555 E Flamingo Rd Ste 158, Las Vegas, NV 89119-9305 2017-02-22
1801345954 Jazmin Rico Diaz Counselor 1555 E Flamingo Rd Ste 158, Las Vegas, NV 89119-9305 2016-09-30
1619422037 Casia Cook Counselor 1555 E Flamingo Rd Ste 158, Las Vegas, NV 89119-9305 2016-08-16
1801243431 Zeferino Solis Counselor 1555 E Flamingo Rd Ste 158, Las Vegas, NV 89119-9305 2016-05-24
1801254768 Kodzo Dedzi Counselor 1555 E Flamingo Rd Ste 158, Las Vegas, NV 89119-9305 2016-02-08
1790142628 Kellie Kersey Counselor 1555 E Flamingo Rd Ste 158, Las Vegas, NV 89119-9305 2016-01-22
1174991046 Monique Howard Counselor 1555 E Flamingo Rd Ste 158, Las Vegas, NV 89119-9305 2015-09-09
1457742348 Bre Auna Thomas Counselor 1555 E Flamingo Rd Ste 158, Las Vegas, NV 89119-9305 2015-02-12
1154719714 Ellen Adamian Counselor 1555 E Flamingo Rd Ste 158, Las Vegas, NV 89119-9305 2015-01-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669089298 Jennifer Chavon Cruse Technician [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 2020-09-28
1063024214 Rosa Isela Martinez Gonzalez Technician 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 2020-08-19
1720697980 Christian Scott Social Worker 4055 Spencer St #118, Las Vegas, NV 89119 2020-07-23
1245867159 Starfruit Holdings, LLC Skilled Nursing Facility 4375 S Eastern Ave, Paradise, NV 89119 2020-03-23
1215562376 Phyllis Eberechukwu Hunt Adult Companion 5160 Tamarus St Appt 17, Las Vegas, NV 89119 2020-03-10
1841832581 Legna Carrillo Adult Companion 4325 South Bruce St Appt 63, Las Vegas, NV 89119 2019-10-15
1104468339 Alma Leticia Salazar Home Health Aide Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 2019-10-09
1083260046 Araceli Rosas Vargas Technician 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 2019-08-15
1376197707 Bristure Clayton Technician Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 2019-07-24
1457904534 Carmen Laura Gonzalez Valenzuela Chore Provider 6725-1 S. Eastern Ave, Las Vegas, NV 89119 2019-07-18
Find all providers in zip 89119

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649885906 Danielle Monique Edwards Counselor 230 Mission Catalina Ln, Las Vegas, NV 89107-2711 2020-09-14
1548873748 Jamye Ann Miller Counselor 213 Shadow Ln, Las Vegas, NV 89106-4338 2020-08-26
1629687538 Nicholas James Dayton Counselor 2038 Palm St Spc 78, Las Vegas, NV 89104-4833 2020-07-27
1215559935 Elizabeth Marie Brescia Counselor 501 S Rancho Dr # 33, Las Vegas, NV 89106-4828 2020-05-15
1871128983 Mirielys Merayo Mejias Counselor 3954 Parkhaven Dr, Las Vegas, NV 89120-1311 2020-03-09
1497394316 Morgan Faye Mccallister Counselor 4059 Pistachio Nut Ave, Las Vegas, NV 89115-1294 2019-12-23
1154968311 Simone Allison Bailey Counselor 5060 W Hacienda Ave Apt 2004, Las Vegas, NV 89118-0340 2019-12-06
1558824250 Cherelle Porche Counselor 12020 Southern Highlands Pkwy Apt 1136, Las Vegas, NV 89141-3006 2019-04-09
1508325606 Latonya Bell Counselor 7883 Salt Spray Ct, Las Vegas, NV 89139-6115 2019-03-18
1346708591 Annali Euredjian Counselor 8440 Westcliff Dr Apt 2043, Las Vegas, NV 89145-3913 2019-03-06
Find all providers in LAS VEGAS

Competitor

Search similar providers

City LAS VEGAS
Zip Code 89119

Improve Information

Please comment or provide details below to improve the information on FANTASI PRIDGON.

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.

Trending Searches