APPLE GROVE TREATMENT CENTER NPI 1790063626

NPI Information

  • NPI: 1790063626
  • Provider Name: APPLE GROVE TREATMENT CENTER
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Doing Business As: APPLE GROVE FOSTER AGENCY
  • Address: 3155 E PATRICK LN
    STE 1
    LAS VEGAS, NV
    ZIP 89120
  • Phone: (702) 992-0576

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NPI Details

APPLE GROVE TREATMENT CENTER is a marriage family therapist in Las Vegas, NV. The provider is 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 mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. APPLE GROVE TREATMENT CENTER NPI is 1790063626. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Apple Grove Foster Agency.

The provider's business location address is:

3155 E PATRICK LN
STE 1
LAS VEGAS, NV
ZIP 89120-481
Phone: (702) 992-0576
Fax: (702) 992-0391

The provider's authorized official is Icia Sandulak .
The authorized official title is Director and has the following contact phone number (702) 576-7942.

The enumeration date for this NPI number is 7/26/2011 and was last updated on 8/1/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2106H00000XMarriage & Family TherapistYes
3253J00000XFoster Care AgencyNEVADANo

What is NPI?

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

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