| Legacy Counseling And Workforce Connections | |
|
6600 W Charleston Blvd Ste 111 Las Vegas NV 89146-1067 | |
| (702) 763-7443 | |
| Not Available |
| Full Name | Legacy Counseling And Workforce Connections |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6600 W Charleston Blvd Ste 111, Las Vegas, Nevada |
| Authorized Official Name and Position | Chris Alden Doss (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7027637443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Counseling And Workforce Connections 4170 S Decatur Blvd Ste D9 Las Vegas NV 89103-6815 Ph: (702) 763-7443 | Legacy Counseling And Workforce Connections 6600 W Charleston Blvd Ste 111 Las Vegas NV 89146-1067 Ph: (702) 763-7443 |
| NPI Number | 1740603026 |
|---|---|
| Provider Enumeration Date | 01/22/2014 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Medicare PECOS PAC ID | 3678904851 |
|---|---|
| Medicare Enrollment ID | O20200505000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740603026 | NPI | - | NPPES |
| Provider Name | Chris A Doss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861682494 PECOS PAC ID: 6800997248 Enrollment ID: I20080410000042 |
| Provider Name | Krayton E Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013186030 PECOS PAC ID: 0749433811 Enrollment ID: I20160404000438 |
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