LEGACY COUNSELING AND WORKFORCE CONNECTIONS (NPI# 1821635889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821635889 |
Entity Type | Organization |
Organization Name | LEGACY COUNSELING AND WORKFORCE CONNECTIONS |
Other Organization Name | LEGACY COUNSELING AND WORKFORCE CONNECTIONS |
Practice Address |
4170 S Decatur Blvd Ste D9 Las Vegas NV 89103-6815 |
Practice Telephone | 7027637443 |
Practice Fax Number | 8662841860 |
Mailing Telephone | 7027637443 |
Mailing Fax Number | 8662841860 |
Enumeration Date | 2019-12-09 |
Last Update Date | 2020-05-07 |
Authorized Official Name | CHRIS ALDEN DOSS (CLINICAL DIRECTOR) |
Authorized Official Telephone | 7027637443 |
Authorized Official Credential | LCSW |
Is Organization Subpart | Y |
Parent Organization Name | LEGACY COUNSELING AND WORKFORCE CONNECTIONS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Legacy Counseling and Workforce Connections | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760027213 | Legacy Counseling and Workforce Connections | Psychologist | 4170 S Decatur Blvd Ste 9, Las Vegas, NV 89103-5861 | 2019-11-07 |
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 |
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 |
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 |
1417507443 | Legacy Counseling and Workforce Connection | Clinic/Center | 4170 S Decatur Blvd Ste D9, Las Vegas, NV 89103-6815 | 2019-09-11 |
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 | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881295848 | Renaissance Mental Health Corporation | Clinic/Center | 3663 E Sunset Rd Ste 201c, Las Vegas, NV 89120-3246 | 2020-11-05 |
1447866801 | Steadfast Behavioral Clinic LLC | Clinic/Center | 8612 Copper Knoll Ave, Las Vegas, NV 89129-7649 | 2020-09-21 |
1306450978 | Super Life Codes Foundation | Clinic/Center | 4276 Spring Mountain Rd Unit 214, Las Vegas, NV 89102-8781 | 2020-09-01 |
1194335554 | New Leaf Wellness & Behavioral Health LLC | Clinic/Center | 3430 E Flamingo Rd Ste 244, Las Vegas, NV 89121-5020 | 2020-07-31 |
1700495884 | Fmt Behavioral Health Services | Clinic/Center | 4170 S Decatur Blvd Ste A6, Las Vegas, NV 89103-5862 | 2020-07-24 |
1962011049 | Nevada Psychotherapy Practice LLC | Clinic/Center | 8766 S Maryland Pkwy Ste 105, Las Vegas, NV 89123-6701 | 2020-07-24 |
1346858024 | Fairclough Consulting Services, LLC | Clinic/Center | 9224 Tudor Park Pl, Las Vegas, NV 89145-8726 | 2020-07-17 |
1841818457 | Wellness Foundation | Clinic/Center | 9850 S Maryland Pkwy # 5-371, Las Vegas, NV 89183-7146 | 2020-07-09 |
1225656358 | Behavioral and Health Management LLC | Clinic/Center | 1500 E Tropicana Ave Ste 155, Las Vegas, NV 89119-6516 | 2020-07-06 |
1366069312 | Holding Onto Hope L.l.c | Clinic/Center | 2725 W Wigwam Ave Apt 2108, Las Vegas, NV 89123-6611 | 2020-06-25 |
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.