Wilson, Marta A. T.
Wilson, Marta A. T. is an individual health care provider with primary practice located at 6375 W Charleston Blvd Ste. A-172, Las Vegas NV 89146-1139. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wilson, Marta A. T. can be contacted via phone (702) 877-0684.Contact Information
Primary practice address
6375 W Charleston Blvd Ste. A-172
Las Vegas NV 89146-1139
Phone: (702) 877-0684
Fax: (702) 877-0684
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 01035 | Nevada |
Profile Details
NPI number | 1740221993 |
---|---|
LBN Legal business name | Wilson, Marta A. T. |
Credentials | MFT, CPC, LCADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2006 |
Last updated | Dec 30th, 2009 - about 16 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 | 1740221993 | NPPES |
Nevada | MEDICAID | 100508688 |
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