Nancy Acquaviva
Individual provider Active NPI Professional Counselor · Las Vegas, NV
NPI 1891204327 · NPPES record last updated Sep 27, 2017
Key facts
- NPI
- 1891204327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 6600 W Charleston Blvd Ste 140
Las Vegas, NV 89146-1067 - Phone
- (702) 437-4673
- Fax
- (702) 438-4673
- NPI assigned
- Sep 27, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
6600 W Charleston Blvd Ste 140
Las Vegas, NV 89146-1067
Mailing address
3644 S Fort Apache Rd Apt 2008
Las Vegas, NV 89147-3425
Phone (702) 713-4315
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.