NPI 1144622978 · live from the CMS NPI Registry
Belafonte Anderson
Counselor, Mental Health in Las Vegas, NV. National Provider Identifier 1144622978, active.
NPI record
| NPI | 1144622978 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 3660 N. Rancho Drive #113, Las Vegas, NV 89130 |
| Practice phone | 404-934-3936 |
| Enumerated | September 24, 2014 |
| Last updated | September 24, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | — |
| Behavior Analyst | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.