Organization
A LIST FAMILY SERVICES, LLC
Active
Organization
A LIST FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. UALAPA MIKA FONOTISATELE JR. QMHA-ASSOCIATES (PRESIDENT/OWNER)
(702) 321-9273
Entity
Organization
Contact information
Practice address
3960 E PATRICK LN STE 101, LAS VEGAS, NV 89120-4902
(702) 998-6264
(702) 998-6270
Mailing address
3960 E PATRICK LN STE 101, LAS VEGAS, NV 89120-4902
(702) 998-6264
(702) 998-6270
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CP0090
NV
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207R00000X
Internal Medicine Physician
NV5802
NV
2084P0800X
Psychiatry Physician
Primary
NV10794
NV
363L00000X
Nurse Practitioner
APRN001471
NV
Other
Enumeration date
05/05/2010
Last updated
03/20/2015
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