LEGACY COUNSELING AND WORKFORCE CONNECTION (NPI# 1417507443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417507443 |
Entity Type | Organization |
Organization Name | LEGACY COUNSELING AND WORKFORCE CONNECTION |
Other Organization Name | LEGACY COUNSELING AND WORKFORCE CONNECTIONS |
Practice Address |
4170 S Decatur Blvd Ste D9 Las Vegas NV 89103-6815 |
Practice Telephone | 7027637443 |
Mailing Telephone | 7027637443 |
Enumeration Date | 2019-09-11 |
Last Update Date | 2020-04-16 |
Authorized Official Name | CHRIS ALDEN DOSS (CLINICAL DIRECTOR) |
Authorized Official Telephone | 7027637443 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Legacy Counseling and Workforce Connections | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740603026 | Legacy Counseling and Workforce Connection | Counselor | 4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815 | 2014-01-22 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | LEGACY COUNSELING AND WORKFORCE CONNECTIONS | 4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815 |
Street Address |
4170 S DECATUR BLVD STE D9 |
City | LAS VEGAS |
State | NV |
Zip Code | 89103-6815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013186030 | Krayton Stephens | Counselor | 4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815 | 2008-02-23 |
1700499761 | Alejandra Villalobos | Case Manager/Care Coordinator | 4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815 | 2020-08-28 |
1255940144 | Alanna Walker | Counselor | 4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815 | 2020-07-27 |
1821635889 | Legacy Counseling and Workforce Connections | Clinic/Center | 4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815 | 2019-12-09 |
1578108023 | Legacy Counseling and Workforce Connections | Non-emergency Medical Transport (VAN) | 4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815 | 2019-11-07 |
1962047415 | Legacy Counseling and Workforce Connections | Internal Medicine | 4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815 | 2019-11-07 |
1285277145 | Cordell Destrey Harris | Rehabilitation Practitioner | 4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815 | 2019-10-23 |
1881245801 | Aaron Burciaga | Massage Therapist | 4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815 | 2019-09-20 |
1740603026 | Legacy Counseling and Workforce Connection | Counselor | 4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815 | 2014-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
1437798931 | Las Vegas Diagnostic & Treatment LLC | Neuromusculoskeletal Medicine & OMM | Dpm, 5650 W Flamingo Rd Ste A, Las Vegas, NV 89103 | 2019-12-31 |
1033769385 | Maria Yemi Centeno | Technician | 4674 Via Torino, Las Vegas, NV 89103 | 2019-09-18 |
1750847869 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3821 W Flamingo Rd, Las Vegas, NV 89103 | 2019-02-13 |
1447741905 | Adgold Medical Corp | Durable Medical Equipment & Medical Supplies | 3651 Lindell Rd Ste D536, Las Vegas, NV 89103 | 2018-05-21 |
1184138620 | Kiley Ballew | Social Worker | 4425 South Jones, Suite D3, Las Vegas, NV 89103 | 2017-11-20 |
1396275988 | Karen Walton | Technician | 5419 W. Tropicana Ave. A2803, Las Vegas, NV 89103 | 2017-06-15 |
1760923643 | Shannon-dorothy Austria | Social Worker | 4425 S. Jones, Suite D3, Las Vegas, NV 89103 | 2017-03-13 |
1306260583 | Ladonna Smith | Behavioral Analyst | 1126 Tamerck Ave, Las Vegas, NV 89103 | 2014-02-10 |
Find all providers in zip 89103 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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1639791791 | Spring Mountain Medical Center Pllc | Internal Medicine | 4276 Spring Mountain Rd Unit 211, Las Vegas, NV 89102-8781 | 2020-05-12 |
1720609555 | Alia Parveen Inc | Internal Medicine | 337 Rezzo St, Las Vegas, NV 89138-4624 | 2020-05-04 |
1225658982 | Ejo Mannaparambil John Md Pllc | Internal Medicine | 3217 Grayson Lake Ct, Las Vegas, NV 89129-6614 | 2020-04-23 |
1780203869 | Curry Pllc | Internal Medicine | 8535 Edna Ave, Las Vegas, NV 89117-4413 | 2020-04-09 |
1073142980 | Fajar Corp LLC | Internal Medicine | 2991 Raywood Ash Dr, Las Vegas, NV 89138-6143 | 2020-04-02 |
1912534348 | Garrison Medical Consultants Pllc | Internal Medicine | 6852 Sumatra St, Las Vegas, NV 89166-7001 | 2020-03-25 |
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.