THEODIS THROWER JR.


Address: 1408 Gentle Brook St, North Las Vegas, NV 89084-2029
Phone: 7023366126

THEODIS THROWER JR. (NPI# 1962704189) 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) 1962704189
Entity Type Individual
Full Name THEODIS THROWER JR.
Practice Address 1408 Gentle Brook St
North Las Vegas
NV 89084-2029
Practice Telephone 7023366126
Practice Fax Number 9288326125
Mailing Telephone 7023366126
Mailing Fax Number 9288326125
Enumeration Date 2010-11-19
Last Update Date 2020-07-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1408 GENTLE BROOK ST
City NORTH LAS VEGAS
State NV
Zip Code 89084-2029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346528957 Total Care and Consulting LLC Community/Behavioral Health 1408 Gentle Brook St, North Las Vegas, NV 89084-2029 2011-07-31

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City NORTH LAS VEGAS
Zip Code 89084

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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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