| Golden Touch Behavioral Care Center Prof Corp | |
|
2225 E Flamingo Rd Ste 100 Las Vegas NV 89119-5126 | |
| (702) 493-8733 | |
| (702) 903-4499 |
| Full Name | Golden Touch Behavioral Care Center Prof Corp |
|---|---|
| Speciality | Counselor |
| Location | 2225 E Flamingo Rd Ste 100, Las Vegas, Nevada |
| Authorized Official Name and Position | Delma Stafford (ADMINISTRATOR) |
| Authorized Official Contact | 7252869202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Touch Behavioral Care Center Prof Corp 2225 E Flamingo Rd Ste 100 Las Vegas NV 89119-5126 Ph: (702) 493-8733 | Golden Touch Behavioral Care Center Prof Corp 2225 E Flamingo Rd Ste 100 Las Vegas NV 89119-5126 Ph: (702) 493-8733 |
| NPI Number | 1336716901 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Medicare PECOS PAC ID | 5395272470 |
|---|---|
| Medicare Enrollment ID | O20241231003238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336716901 | NPI | - | NPPES |
| 1972117091 | Medicaid | NV | |
| 250019580 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Miranda Michelle Huepers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316579246 PECOS PAC ID: 5597296509 Enrollment ID: I20241001004545 |
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