Mccullough, Elaine Kimberly

Mccullough, Elaine Kimberly is an sole proprietor health care provider with primary practice located at 2780 S Jones Blvd Ste 100A , Las Vegas NV 89146-5625. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mccullough, Elaine Kimberly can be contacted via phone (702) 820-3061.

Contact Information

Primary practice address
2780 S Jones Blvd Ste 100A Las Vegas NV 89146-5625
Phone: (702) 820-3061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PH1535 Mississippi
Behavioral Health & Social Service Providers / Professional 101YP2500X 3374 Tennessee
Behavioral Health & Social Service Providers / Professional 101YP2500X 1148 Nevada
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1148 Nevada

Profile Details

NPI number 1770767352
LBN Legal business name Mccullough, Elaine Kimberly
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2007
Last updated Feb 2nd, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770767352 NPPES
Nevada MEDICAID 1770767352
Nevada MEDICAID 1770767352

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