| Our Community Mental Health Solutions, Llc | |
|
3150 W Twain Ave Apt 646 Las Vegas NV 89103-1929 | |
| (725) 222-4560 | |
| Not Available |
| Full Name | Our Community Mental Health Solutions, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3150 W Twain Ave Apt 646, Las Vegas, Nevada |
| Authorized Official Name and Position | Carlos Cisneros (OWNER) |
| Authorized Official Contact | 7252224560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Community Mental Health Solutions, Llc 6254 Angora Peak Ln Las Vegas NV 89115-1662 Ph: (725) 222-4560 | Our Community Mental Health Solutions, Llc 3150 W Twain Ave Apt 646 Las Vegas NV 89103-1929 Ph: (725) 222-4560 |
| NPI Number | 1669166930 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Medicare PECOS PAC ID | 9739610965 |
|---|---|
| Medicare Enrollment ID | O20240930000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669166930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carlos Ruben Cisneros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417563362 PECOS PAC ID: 7810433349 Enrollment ID: I20240930001861 |
| Provider Name | Miguel Angel Corzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417200767 PECOS PAC ID: 0648701870 Enrollment ID: I20241001000733 |
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