NPI 1891204327 · live from the CMS NPI Registry
Nancy Acquaviva
Counselor, Professional in Las Vegas, NV. National Provider Identifier 1891204327, active.
NPI record
| NPI | 1891204327 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146 |
| Practice phone | 702-437-4673 |
| Mailing address | 3644 S Fort Apache Rd Apt 2008, Las Vegas, NV 89147 |
| Enumerated | September 27, 2017 |
| Last updated | September 27, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | — |
| Marriage & Family Therapist | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.