Provider Demographics
NPI:1902523293
Name:CONFIDE THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:CONFIDE THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:DERRICO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:725-333-4566
Mailing Address - Street 1:6417 EAGLE POINT RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-5347
Mailing Address - Country:US
Mailing Address - Phone:725-333-4566
Mailing Address - Fax:725-241-8176
Practice Address - Street 1:6417 EAGLE POINT RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-5347
Practice Address - Country:US
Practice Address - Phone:725-333-4566
Practice Address - Fax:725-241-8176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health