MRS. TRINA COLETTE SQUALLS


Address: 1555 E Flamingo Rd, Ste# 158, Las Vegas, NV 89119-5258
Phone: 7023859097

MRS. TRINA COLETTE SQUALLS (NPI# 1336487982) 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) 1336487982
Entity Type Individual
Full Name MRS. TRINA COLETTE SQUALLS
Other Name MRS. TRINA COLETTE LASHAUL
Credential MBA, BSHCS
Practice Address 1555 E Flamingo Rd
Ste# 158
Las Vegas
NV 89119-5258
Mailing Address 223 Zinc St
Unit B
Henderson
NV 89015-5033
Practice Telephone 7023859097
Mailing Telephone 7025025459
Enumeration Date 2013-01-16
Last Update Date 2013-01-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor NV Behavioral Health & Social Service Providers

Office Location

Street Address 1555 E FLAMINGO RD
STE# 158
City LAS VEGAS
State NV
Zip Code 89119-5258

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NPI Name Taxonomy Address Enumeration
1184693962 Sharon Brenda Landers Internal Medicine 1555 E Flamingo Rd, Las Vegas, NV 89119-5261 2006-03-15
1811443062 Maureen Kelly Counselor 1555 E Flamingo Rd, Suite 158, Las Vegas, NV 89119-5258 2016-08-28
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1457747651 Necole Smith Counselor 1555 E Flamingo Rd, Las Vegas, NV 89119-5258 2015-04-14
1265828263 Summer Easley Counselor 1555 E Flamingo Rd, Las Vegas, NV 89119-5258 2015-04-07
1992197529 Jade-lee Maisano Counselor 1555 E Flamingo Rd, #158, Las Vegas, NV 89119-5258 2015-02-18
1760873095 Nanette Angelique Otis Counselor 1555 E Flamingo Rd, 158, Las Vegas, NV 89119-9305 2015-02-09
1528459971 Carmen Newton Counselor 1555 E Flamingo Rd, Las Vegas, NV 89119-5258 2015-02-06
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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Competitor

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City LAS VEGAS
Zip Code 89119

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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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