Organization
MEDTRANS
Active
Other names
Well Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES MALINIS (CREDENTIALING SPECIALIST)
(702) 410-7825
Entity
Organization
Contact information
Practice address
5412 BOULDER HWY, LAS VEGAS, NV 89122-6039
(702) 576-9545
Mailing address
5412 BOULDER HWY, LAS VEGAS, NV 89122-6039
(702) 576-9545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/10/2014
Last updated
07/31/2019
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