Morita, Nichollette Miyoko

Morita, Nichollette Miyoko is an individual health care provider with primary practice located at 6900 N Pecos Rd , North Las Vegas NV 89086-4400. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Morita, Nichollette Miyoko can be contacted via phone (702) 791-9000.

Contact Information

Primary practice address
6900 N Pecos Rd North Las Vegas NV 89086-4400
Phone: (702) 791-9000
Fax: (702) 791-9386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7308-C Nevada

Profile Details

NPI number 1386939908
LBN Legal business name Morita, Nichollette Miyoko
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2011
Last updated Sep 25th, 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 1386939908 NPPES
Nevada MEDICAID PSR-H2017

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