Organization
FIRST PERSON CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVE RODRIGUEZ (CREDENTIALING MANAGER)
(702) 752-2134
Entity
Organization
Contact information
Practice address
914 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 380-8118
(702) 380-2929
Mailing address
1200 S 4TH ST STE 111, LAS VEGAS, NV 89104-1046
(702) 380-8118
(702) 380-2929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/30/2021
Last updated
02/22/2022
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