| Michael Cornwall PhD LLC | |
|
2110 E Flamingo Rd Ste 207 Las Vegas NV 89119-5191 | |
| (859) 321-4956 | |
| (702) 472-8635 |
| Full Name | Michael Cornwall PhD LLC |
|---|---|
| Speciality | Counselor |
| Location | 2110 E Flamingo Rd Ste 207, Las Vegas, Nevada |
| Authorized Official Name and Position | Michael Cornwall (PROVIDER) |
| Authorized Official Contact | 8593214956 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Cornwall PhD LLC 7115 Pico Rio Ct Las Vegas NV 89156-7154 Ph: (859) 321-4956 | Michael Cornwall PhD LLC 2110 E Flamingo Rd Ste 207 Las Vegas NV 89119-5191 Ph: (859) 321-4956 |
| NPI Number | 1699531731 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 03/02/2024 |
| Certification Date | 03/02/2024 |
| Medicare PECOS PAC ID | 8527409457 |
|---|---|
| Medicare Enrollment ID | O20240509002587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699531731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
| Provider Name | Michael Robert Cornwall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184921033 PECOS PAC ID: 9436590361 Enrollment ID: I20240509002651 |
CC Youth Empowerment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8070 W Russell Rd, Apt 1065, Las Vegas, NV 89113 Phone: 702-610-4153 |
Creating Empowerment Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4773 Madrid Ridge Ct, Las Vegas, NV 89129 Phone: 702-656-9890 Fax: 702-656-9152 |
No Obstacles Mental Health LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8565 S Eastern Ave, Suite 174, Las Vegas, NV 89123 Phone: 702-462-3082 |
The Village Behavior Health Services, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Mcleod Dr, Suite 4&5, Las Vegas, NV 89120 Phone: 702-437-0341 |
Lovelife Family Services L.l.c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120 Phone: 702-754-3484 Fax: 702-629-7952 |
Nevada State Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3450 E Russell Rd Ste 105l, Las Vegas, NV 89120 Phone: 702-714-1648 |