| Ellen Tinney, | |
|
6640 Abruzzi Dr, Unit 204, North Las Vegas, NV 89084-5438 | |
| (702) 994-1940 | |
| Not Available |
| Full Name | Ellen Tinney |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 6640 Abruzzi Dr, North Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598062325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Uplifting Lives |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902240443 PECOS PAC ID: 6709224157 Enrollment ID: O20240403003387 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Tinney, 6640 Abruzzi Dr, Unit 204, North Las Vegas, NV 89084-5438 Ph: (702) 994-1940 | Ellen Tinney, 6640 Abruzzi Dr, Unit 204, North Las Vegas, NV 89084-5438 Ph: (702) 994-1940 |
Amanda Nicole Vieira, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Judson Ave, North Las Vegas, NV 89030 Phone: 702-399-2769 Fax: 702-399-0271 | |
Gerard Taguiam, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7016 Manzanares Dr, North Las Vegas, NV 89084 Phone: 510-759-1966 | |
Gerimar Deon Hicks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2024 Hassell Ave, North Las Vegas, NV 89032 Phone: 702-205-7638 | |
Samuel Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1829 Casa Verde Dr, North Las Vegas, NV 89031 Phone: 702-636-0337 | |
Lizeth Pineda Florez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3404 Robust Robin Pl Unit 1, North Las Vegas, NV 89084 Phone: 702-429-1303 | |
Sonya Edyth Michelle Wells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3925 N Martin L King, North Las Vegas, NV 89032 Phone: 702-684-7757 | |
Khadijah M Faison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3455 W Craig Rd, Suite C, North Las Vegas, NV 89032 Phone: 702-982-0600 Fax: 702-982-0300 |