| Labante Counseling & Education Services | |
|
4580 S Eastern Ave Ste 31 Las Vegas NV 89119-6100 | |
| (725) 314-8472 | |
| (866) 280-9477 |
| Full Name | Labante Counseling & Education Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4580 S Eastern Ave Ste 31, Las Vegas, Nevada |
| Authorized Official Name and Position | Ayele Elavagnon Amavigan (MANAGING DIRECTOR) |
| Authorized Official Contact | 7028069143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Labante Counseling & Education Services 6121 Meadow View Ln Las Vegas NV 89103-1121 Ph: (702) 806-9143 | Labante Counseling & Education Services 4580 S Eastern Ave Ste 31 Las Vegas NV 89119-6100 Ph: (725) 314-8472 |
| NPI Number | 1780192278 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 1355886342 |
|---|---|
| Medicare Enrollment ID | O20240715001781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780192278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5116-S (Nevada) | Primary |
| Provider Name | Ayele E Amavigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497921605 PECOS PAC ID: 2062725369 Enrollment ID: I20150715001997 |
| Provider Name | Candi Greenlee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013240100 PECOS PAC ID: 3779947510 Enrollment ID: I20230913001317 |
| Provider Name | Nethanya Cortez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821515065 PECOS PAC ID: 0547624223 Enrollment ID: I20230913003396 |
| Provider Name | Nicole Pisarczyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134708191 PECOS PAC ID: 1850838236 Enrollment ID: I20240802001600 |
| Provider Name | Mary Hartsell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508164567 PECOS PAC ID: 5294273280 Enrollment ID: I20240821004472 |
| Provider Name | Evelyn Michelle Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235705625 PECOS PAC ID: 6204375850 Enrollment ID: I20240827001719 |
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