Miranda, Roberta Angela

Miranda, Roberta Angela is an individual health care provider with primary practice located at 2000 S Eastern Ave , Las Vegas NV 89104-4100. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Miranda, Roberta Angela can be contacted via phone (702) 204-3609.

Contact Information

Primary practice address
2000 S Eastern Ave Las Vegas NV 89104-4100
Phone: (702) 204-3609
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LADC #1160 Nevada
Behavioral Health & Social Service Providers / Professional 101YP2500X NCC#204921 Nevada
Behavioral Health & Social Service Providers / Professional 101YP2500X CPC#0049 Nevada

Profile Details

NPI number 1679817043
LBN Legal business name Miranda, Roberta Angela
Credentials LADC, CPC, NCC, ACS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2012
Last updated Feb 7th, 2023 - about 3 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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