Provider Demographics
NPI:1346695129
Name:GERARDO, ARMANDO (MED CPC LPC)
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:GERARDO
Suffix:
Gender:
Credentials:MED CPC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 N 11TH ST APT 54
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-4345
Mailing Address - Country:US
Mailing Address - Phone:702-929-0673
Mailing Address - Fax:
Practice Address - Street 1:530 S 6TH ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-6918
Practice Address - Country:US
Practice Address - Phone:702-880-8231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP5692-R101YP2500X
TX72305101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional