| Meridian Counseling Services, Llc | |
|
5510 S Fort Apache Rd Las Vegas NV 89148-7700 | |
| (702) 604-2498 | |
| Not Available |
| Full Name | Meridian Counseling Services, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 5510 S Fort Apache Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Derek Wise (OWNER) |
| Authorized Official Contact | 7026042498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Counseling Services, Llc 5510 S Fort Apache Rd Las Vegas NV 89148-7700 Ph: () - | Meridian Counseling Services, Llc 5510 S Fort Apache Rd Las Vegas NV 89148-7700 Ph: (702) 604-2498 |
| NPI Number | 1538712351 |
|---|---|
| Provider Enumeration Date | 07/21/2019 |
| Last Update Date | 05/31/2025 |
| Certification Date | 05/31/2025 |
| Medicare PECOS PAC ID | 1658800396 |
|---|---|
| Medicare Enrollment ID | O20250127000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538712351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Amy Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750167607 PECOS PAC ID: 1052855491 Enrollment ID: I20240626004637 |
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