Provider Demographics
NPI:1588714364
Name:NASH, SALLY SOZHA (BA)
Entity type:Individual
Prefix:MISS
First Name:SALLY
Middle Name:SOZHA
Last Name:NASH
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 CARMEN BLVD
Mailing Address - Street 2:APT # 1047
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-1772
Mailing Address - Country:US
Mailing Address - Phone:702-556-1846
Mailing Address - Fax:
Practice Address - Street 1:6100 CARMEN BLVD
Practice Address - Street 2:APT # 1047
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-1772
Practice Address - Country:US
Practice Address - Phone:702-556-1846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health