Wellformed AI

NPI 1700214467 · live from the CMS NPI Registry

Phoenix Aerie

Counselor in Las Vegas, NV. National Provider Identifier 1700214467, active.

NPI record

NPI1700214467 Type 1 · individual
StatusActive
Primary specialtyCounselor 101Y00000X
Practice location9402 W Lake Mead Blvd Ste 102, Las Vegas, NV 89134
Practice phone702-438-7800
EnumeratedOctober 16, 2013
Last updatedAugust 21, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Counselor primary101Y00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.