ROBERT SOUCY (NPI# 1053850636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
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 |
Street Address |
2121 W CHARLESTON BLVD |
City | LAS VEGAS |
State | NV |
Zip Code | 89102 |
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 |
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 Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
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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.