LEGACY COUNSELING AND WORKFORCE CONNECTION


Address: 4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815
Phone: 7027637443

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Legacy Counseling and Workforce Connections Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 4170 S DECATUR BLVD STE D9
City LAS VEGAS
State NV
Zip Code 89103-6815

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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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1073142980 Fajar Corp LLC Internal Medicine 2991 Raywood Ash Dr, Las Vegas, NV 89138-6143 2020-04-02
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Competitor

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City LAS VEGAS
Zip Code 89103

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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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