Anderson, Elyssa Marie

Anderson, Elyssa Marie is an individual health care provider with primary practice located at 4221 Mcleod Dr , Las Vegas NV 89121-5215. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Anderson, Elyssa Marie can be contacted via phone (702) 474-6450.

Contact Information

Primary practice address
4221 Mcleod Dr Las Vegas NV 89121-5215
Phone: (702) 474-6450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 07180-LCI Nevada
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MI4221 Nevada
Behavioral Health & Social Service Providers / Professional 101YP2500X C15112 Nevada

Profile Details

NPI number 1972955615
LBN Legal business name Anderson, Elyssa Marie
Credentials MFT-I, CPC-I, CADC-I
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2016
Last updated Jun 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972955615 NPPES
Nevada Other PENDING CADC-I
Nevada Other PENDING CADC-I

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