DESERT PEACE THERAPY LLC NPI 1073265377

NPI Information

  • NPI: 1073265377
  • Provider Name: DESERT PEACE THERAPY LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 2400 N TENAYA WAY STE 309
    LAS VEGAS, NV
    ZIP 89128
  • Phone: (725) 222-0263

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NPI Details

DESERT PEACE THERAPY LLC is a clinical social worker in Las Vegas, NV. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. DESERT PEACE THERAPY LLC NPI is 1073265377. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2400 N TENAYA WAY STE 309
LAS VEGAS, NV
ZIP 89128-645
Phone: (725) 222-0263
Fax: (725) 262-5630

The provider's authorized official is Alicia Antoinette Runyan .
The authorized official title is Clinical Director and has the following contact phone number (725) 222-0263.

The enumeration date for this NPI number is 1/19/2022 and was last updated on 3/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalYes
3106H00000XMarriage & Family TherapistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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