Nicolas Ponzo is a Mental Health in Las Vegas, Nevada. Nicolas Ponzo practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Nicolas Ponzo is 1659402360. The last update date is 2007-07-08.
Nicolas Ponzo's current location address is 9163 W Flamingo Rd, Las Vegas, Nevada. You can contact this provider via phone number 7022481169 and fax number 7028699203. The mailing address for Nicolas Ponzo is 9163 W Flamingo Rd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicolas Ponzo |
|---|---|
| Address | 9163 W Flamingo Rd, Las Vegas, Nevada |
| Phone Number | 7022481169 |
| Fax Number | 7028699203 |
| Sole Proprietor | N |
| Credentials | MSW, M.ED, |
NPI Number Detail
| NPI Number | 1659402360 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9163 W Flamingo Rd |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891476457 |
| Phone Number | 7022481169 |
| Fax Number | 7028699203 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | NV01258-C |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NV01258-C | NV | STATE LICENSE |
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What is the unique identification code assigned to Nicolas Ponzo by the Centers for Medicare & Medicaid Services?
The Nicolas Ponzo has been issued the NPI (National Provider Identifier) 1659402360. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Nicolas Ponzo?
The Nicolas Ponzo is physically situated at 9163 W Flamingo Rd, in the city of Las Vegas, state of NV, with the postal code 891476457.
What is Nicolas Ponzo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nicolas Ponzo is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did Nicolas Ponzo receive its 1659402360 assignment from the Centers for Medicare & Medicaid Services?
The Nicolas Ponzo was assigned its 1659402360 on 2007-03-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Nicolas Ponzo most recently updated or revised?
The details related to Nicolas Ponzo, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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