MR. DARREL PAUL MALLY (NPI# 1649570565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649570565 |
| Entity Type | Individual |
| Full Name | MR. DARREL PAUL MALLY |
| Practice Address |
6171 W Charleston Blvd Building #14 Las Vegas NV 89146-1126 |
| Mailing Address |
1701 Rock Springs Dr Apartment #2144 Las Vegas NV 89128-3126 |
| Practice Telephone | 7024867667 |
| Mailing Telephone | 7025536139 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
6171 W CHARLESTON BLVD BUILDING #14 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811953003 | State of Nevada | Psychiatric Residential Treatment Facility | 6171 W Charleston Blvd, Bldg. #17, Las Vegas, NV 89146-1126 | 2006-04-25 |
| 1073112025 | Colette Olicia Scott | Counselor | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-10-21 |
| 1104423615 | Cleonne Lucien-ferdinand | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-10-07 |
| 1740805670 | Johnathan M Clark | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-06-16 |
| 1437780996 | Eva Maria Rivera | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-02-03 |
| 1699305953 | Margy Espinosa | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-01-24 |
| 1871123133 | Frances M. Twigg | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-01-24 |
| 1700429271 | Nancy Angela Zavetz-lee | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2019-10-28 |
| 1558822676 | Loribeth Smith | Counselor | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2019-03-29 |
| 1144795808 | Barbara A Jones | Counselor | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2018-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885906 | Danielle Monique Edwards | Counselor | 230 Mission Catalina Ln, Las Vegas, NV 89107-2711 | 2020-09-14 |
| 1548873748 | Jamye Ann Miller | Counselor | 213 Shadow Ln, Las Vegas, NV 89106-4338 | 2020-08-26 |
| 1629687538 | Nicholas James Dayton | Counselor | 2038 Palm St Spc 78, Las Vegas, NV 89104-4833 | 2020-07-27 |
| 1215559935 | Elizabeth Marie Brescia | Counselor | 501 S Rancho Dr # 33, Las Vegas, NV 89106-4828 | 2020-05-15 |
| 1871128983 | Mirielys Merayo Mejias | Counselor | 3954 Parkhaven Dr, Las Vegas, NV 89120-1311 | 2020-03-09 |
| 1497394316 | Morgan Faye Mccallister | Counselor | 4059 Pistachio Nut Ave, Las Vegas, NV 89115-1294 | 2019-12-23 |
| 1154968311 | Simone Allison Bailey | Counselor | 5060 W Hacienda Ave Apt 2004, Las Vegas, NV 89118-0340 | 2019-12-06 |
| 1558824250 | Cherelle Porche | Counselor | 12020 Southern Highlands Pkwy Apt 1136, Las Vegas, NV 89141-3006 | 2019-04-09 |
| 1508325606 | Latonya Bell | Counselor | 7883 Salt Spray Ct, Las Vegas, NV 89139-6115 | 2019-03-18 |
| 1346708591 | Annali Euredjian | Counselor | 8440 Westcliff Dr Apt 2043, Las Vegas, NV 89145-3913 | 2019-03-06 |
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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.