person
Latayvia Renee Shade, QBA
Counselor in Las Vegas, Nevada
NPI 1619618543

Latayvia Renee Shade is a Counselor based in Las Vegas, NV. Latayvia Renee Shade practices in Las Vegas, NV and has the professional credentials of QBA. The NPI Number for Latayvia Renee Shade is 1619618543 and holds a License No. (Nevada).

The current practice location address for Latayvia Renee Shade is 4288 Cartegena Way, Las Vegas, NV and can be reached out via phone at 615-347-3115.

Location: 4288 Cartegena Way, Las Vegas, NV, 89121-6504
person
Provider Profile Details
NPI Number
1619618543
Provider Name
Latayvia Renee Shade
Credential
QBA
Provider Entity Type
Individual
Gender
Female
Address
4288 Cartegena Way, Las Vegas, NV, 89121-6504
Phone Number
615-347-3115
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4288 Cartegena Way
City
State
Zip
89121-6504
Phone Number
615-347-3115
Fax Number
person
Provider Business Mailing Address Details
Address
4288 Cartegena Way
City
State
Zip
89121-6504
Phone Number
615-347-3115
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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