Provider Demographics
NPI:1306444732
Name:GAY, ROMIELLE MARIE (LCPC)
Entity type:Individual
Prefix:
First Name:ROMIELLE
Middle Name:MARIE
Last Name:GAY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 S RANCHO DR STE 4-337
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3837
Mailing Address - Country:US
Mailing Address - Phone:702-440-8840
Mailing Address - Fax:866-518-0781
Practice Address - Street 1:501 S RANCHO DR STE B10
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4830
Practice Address - Country:US
Practice Address - Phone:702-440-8440
Practice Address - Fax:866-518-0781
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-16
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCI5016101YM0800X
103K00000X
NVCP5966101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV203613482Medicaid