Organization
KIVA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIVA S HUTTON LCSW (THERAPIST)
(702) 509-0533
Entity
Organization
Contact information
Practice address
9418 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 509-0533
(702) 445-6454
Mailing address
9418 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 509-0533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5446-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HE772Z
MEDICARE PTAN
NV
Enumeration date
07/02/2015
Last updated
07/07/2015
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