NPI 1558098962 · live from the CMS NPI Registry
Chanell Mj Allen, QMHP
Counselor in Las Vegas, NV. National Provider Identifier 1558098962, active.
NPI record
| NPI | 1558098962 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor 101Y00000X |
| Practice location | 2400 N Tenaya Way, Las Vegas, NV 89128 |
| Practice phone | 702-379-5927 |
| Mailing address | 4780 W Ann Rd Ste 375, North Las Vegas, NV 89031 |
| Enumerated | August 5, 2022 |
| Last updated | February 7, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner | 225400000X | 21-QMHA-R1929 (OR) |
| Counselor primary | 101Y00000X | 23-QMHA-I-004113 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.