Individual provider · Type 1 NPI

Keith A. Stark

Marriage & Family Therapist · Las Vegas, NV

NPI number 1174887681 Active

Practice location

3450 E Russell Rd, 210
Las Vegas, NV 89120-2201

Call (702) 629-4354 Map

Fax (702) 644-0475

Mailing address

10701 S Eastern Ave Apt 2618
Henderson, NV 89052-4901

Other practice locations

  • 11500 S Eastern Ave Ste 150, Henderson, NV 89052-5576 · (702) 661-7436

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMI4366 (NV)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1174887681

Keith A. Stark's National Provider Identifier is 1174887681, issued on Jun 28, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 24, 2026.