Provider Demographics
NPI:1316644750
Name:THERAPY AND PSYCHOLOGICAL SERVICES OF NEVADA PLLC
Entity type:Organization
Organization Name:THERAPY AND PSYCHOLOGICAL SERVICES OF NEVADA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:P
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-533-4206
Mailing Address - Street 1:7556 GLOWING EMBER CT UNIT 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-7950
Mailing Address - Country:US
Mailing Address - Phone:702-533-4206
Mailing Address - Fax:702-583-7010
Practice Address - Street 1:8670 W CHEYENNE AVE STE 219
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7457
Practice Address - Country:US
Practice Address - Phone:702-533-4206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty