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) 931-9696
(702) 425-2308
Mailing address
914 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 931-9696
(702) 425-2308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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