Mccullough, Elaine Kimberly
Mccullough, Elaine Kimberly is an sole proprietor health care provider with primary practice located at 2780 S Jones Blvd Ste 100A , Las Vegas NV 89146-5625. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mccullough, Elaine Kimberly can be contacted via phone (702) 820-3061.Contact Information
Primary practice address
2780 S Jones Blvd Ste 100A
Las Vegas NV 89146-5625
Phone: (702) 820-3061
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | PH1535 | Mississippi |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3374 | Tennessee |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1148 | Nevada |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1148 | Nevada |
Profile Details
| NPI number | 1770767352 |
|---|---|
| LBN Legal business name | Mccullough, Elaine Kimberly |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2007 |
| Last updated | Feb 2nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770767352 | NPPES |
| Nevada | MEDICAID | 1770767352 | |
| Nevada | MEDICAID | 1770767352 |
Popular Providers
-
Robinson, Trina Laryce
3606 N Rancho Dr Suite 142, Las Vegas NV 89130-3195 -
Adjorlolo, Priscilla
9550 S Eastern Ave Ste 253 , Las Vegas NV 89123-8042 -
Zakhour, Virginia
7948 Diamond Rock Way Unit 201 , Las Vegas NV 89128-4119 -
Nash, Sally Sozha
6100 Carmen Blvd Apt # 1047, Las Vegas NV 89108-1772 -
Mcmanaman, Kathleen Marie
5860 S Pecos Rd Bldg G Ste 300, Las Vegas NV 89120-5428 -
James, Suzen Stover
6600 W Charleston Blvd , Las Vegas NV 89146-9001 -
Ponzo, Nicolas
9163 W Flamingo Rd Suite 120, Las Vegas NV 89147-6457 -
Smith, Cathy Anne
7471 Tech Center Ct. Ste. 106, Las Vegas NV 89128