Individual provider · Type 1 NPI
Latayvia Renee Shade, QBA
Counselor · Las Vegas, NV
NPI number
1619618543
Active
Practice location
4288 Cartegena Way
Las Vegas, NV 89121-6504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1619618543
Latayvia Renee Shade, QBA's National Provider Identifier is 1619618543, issued on Apr 5, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 5, 2022.