Organization · NPI-2

A List Family Services, LLC

Psychiatry & Neurology, Psychiatry · Las Vegas, NV

NPI number1184942815

StatusActive

Last updated in NPPESMar 20, 2015

Details

NPI: 1184942815
Entity type: Organization (NPI-2)
Legal business name: A List Family Services, LLC
Organization subpart: No
Enumeration date: May 5, 2010
Last updated: Mar 20, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084P0800X	Psychiatry & Neurology, Psychiatry	NV10794	NV	Yes
207R00000X	Internal Medicine	NV5802	NV
101Y00000X	Counselor	CP0090	NV
363L00000X	Nurse Practitioner	APRN001471	NV
106H00000X	Marriage & Family Therapist	–	–
1041C0700X	Social Worker, Clinical	–	–
104100000X	Social Worker	–	–
103K00000X	Behavior Analyst	–	–
101YM0800X	Counselor, Mental Health	–	–

Practice location

3960 E Patrick Ln Ste 101
Las Vegas, NV 89120-4902

Phone 702-998-6264 · Fax 702-998-6270

Mailing address

3960 E Patrick Ln Ste 101
Las Vegas, NV 89120-4902

Phone 702-998-6264 · Fax 702-998-6270

Authorized official

Ualapa Mika Fonotisatele
President/Owner
7023219273

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