ROBERT SOUCY


Address: 2121 W Charleston Blvd, Las Vegas, NV 89102
Phone: 7023827746

ROBERT SOUCY (NPI# 1053850636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053850636
Entity Type Individual
Full Name ROBERT SOUCY
Credential LCADC, LAC, ICAADC
Practice Address 2121 W Charleston Blvd
Las Vegas
NV 89102
Mailing Address 8732 Autumn Valley Ave
Las Vegas
NV 89129-7618
Practice Telephone 7023827746
Mailing Telephone 5052106098
Enumeration Date 2017-02-16
Last Update Date 2019-03-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
0529-LC NV Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
RA8750817 CA Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
00689-C NV Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CAD0196351 NM Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
T-CTL0193941 NM Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2121 W Charleston Blvd, Las Vegas, NV 89102 7023827746
2441 Cabezon Blvd Se, Rio Rancho, NM 871241576 5057171155
6655 W Sahara Ave Ste B200, Las Vegas, NV 891462832 7026296982

Other Providers ROBERT SOUCY

NPI Name Taxonomy Address Enumeration
1548349905 Robert Soucy Licensed Practical Nurse 36 Nadine Ln, Port Jefferson Station, NY 11776-2849 2006-11-04
1609857747 Robert G Soucy Jr. Family Medicine 9 Oakes Rd, Colebrook, NH 03576-6117 2005-11-07

Office Location

Street Address 2121 W CHARLESTON BLVD
City LAS VEGAS
State NV
Zip Code 89102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083167290 Charleston Residential Services LLC Custodial Care Facility 2121 W Charleston Blvd, Las Vegas, NV 89102-2205 2016-07-25
1689204513 David L Hurd Case Manager/Care Coordinator 2121 W Charleston Blvd, Las Vegas, NV 89102-2205 2020-01-20
1700433109 Amanda Jurden Social Worker 2121 W Charleston Blvd, Las Vegas, NV 89102-2205 2019-08-20
1528530763 Evans Yonyon Azagidi Nurse Practitioner 2121 W Charleston Blvd, Las Vegas, NV 89102-2205 2018-12-28
1841769429 Charleston Residential Medicine LLC Internal Medicine 2121 W Charleston Blvd, Las Vegas, NV 89102-2205 2018-11-13
1790253060 Charleston Residential Services LLC Substance Abuse Rehabilitation Facility 2121 W Charleston Blvd, Las Vegas, NV 89102-2205 2018-11-05
1558864439 Charleston Residential Services LLC Community/Behavioral Health 2121 W Charleston Blvd, Las Vegas, NV 89102-2205 2018-03-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851998397 Natasha Moore Technician 3210 W Charleston Suite 2, Las Vegas, NV 89102 2020-10-07
1568077113 Zulma Yaneth Tervizo Lopez Technician 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 2020-09-10
1922629765 Bianca Vaudreuil Religious Nonmedical Practitioner 3210 W Charleston Ste 2, Las Vegas, NV 89102 2020-05-04
1720608052 Angelica Gutierrez Technician Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 2020-04-16
1396370680 Juana Maria Hernandez Technician 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 2020-03-06
1609409648 Janie Washington Technician 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 2020-02-18
1447893185 Maria Josefina Castaneda Technician 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 2019-10-25
1427608777 Virginia Hernandez Tolentino Technician 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 2019-09-18
1972153872 Gladiola Cardoza Quinones Technician 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 2019-09-13
1801445572 Rafael Roberto Gonzalez Palomino Homemaker 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 2019-09-05
Find all providers in zip 89102

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881200723 Bauza Neuropsychiatry Center LLC Counselor 4268 Roanridge Ave, Las Vegas, NV 89120-2113 2020-09-16
1306451711 Crest Healthcare Inc. Counselor 3275 S Jones Blvd Ste 106, Las Vegas, NV 89146-6768 2020-09-11
1043821671 New Directions LLC Counselor 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 2020-08-17
1831707975 Jennifer Fluharty Counselor 8934 Candice Creek Ct, Las Vegas, NV 89149-3263 2020-07-15
1225666597 Gwendolyn Mallory Counselor 4550 W Sahara Ave Apt 1241, Las Vegas, NV 89102-3648 2020-03-31
1134754120 Shelley Denise Sargent Counselor 10593 Harvest Green Way, Las Vegas, NV 89135-1245 2020-03-10
1720610637 Dsa Technoligies LLC Counselor 9504 City Hill Ct, Las Vegas, NV 89134-1711 2020-02-08
1811532781 Melanie Fedraw Counselor 3661 S Maryland Pkwy Ste 64, Las Vegas, NV 89169-3005 2019-11-14
1457906729 Elizabeth Ann Morris Counselor 7408 Mountain Thicket St, Las Vegas, NV 89131-4542 2019-08-05
1902450455 Tracey Anora Henry Counselor 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 2019-08-01
Find all providers in LAS VEGAS

Competitor

Search similar providers

City LAS VEGAS
Zip Code 89102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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