| Therapeutic Solution | |
|
4130 N Mlk Blvd North Las Vegas NV 89032-0299 | |
| (702) 209-5316 | |
| Not Available |
| Full Name | Therapeutic Solution |
|---|---|
| Speciality | Clinic/Center |
| Location | 4130 N Mlk Blvd, North Las Vegas, Nevada |
| Authorized Official Name and Position | Billy Harris (OWNER) |
| Authorized Official Contact | 7024851313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Solution 4130 N Mlk Blvd North Las Vegas NV 89032-0299 Ph: (702) 209-5316 | Therapeutic Solution 4130 N Mlk Blvd North Las Vegas NV 89032-0299 Ph: (702) 209-5316 |
| NPI Number | 1306581756 |
|---|---|
| Provider Enumeration Date | 04/30/2022 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/16/2024 |
| Medicare PECOS PAC ID | 1759819303 |
|---|---|
| Medicare Enrollment ID | O20250109002040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306581756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Riley Kline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093886426 PECOS PAC ID: 4789062688 Enrollment ID: I20220606001750 |
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