NPI 1003166604 · live from the CMS NPI Registry
Jamelle Berry
Marriage & Family Therapist in Las Vegas, NV. National Provider Identifier 1003166604, active.
NPI record
| NPI | 1003166604 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 2441 Tech Center Ct Ste 100, Las Vegas, NV 89128 |
| Practice phone | 702-907-6384 |
| Enumerated | September 12, 2012 |
| Last updated | June 1, 2020 |
| Sole proprietor | Yes |
| Other names | Jamelle Thornton |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner | 225400000X | — |
| Marriage & Family Therapist primary | 106H00000X | 2657 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.