Provider Demographics
NPI:1205265105
Name:ELZY, SILVIA
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:
Last Name:ELZY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5185 CAMINO AL NORTE STE 120
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-2416
Mailing Address - Country:US
Mailing Address - Phone:702-927-3036
Mailing Address - Fax:
Practice Address - Street 1:5185 CAMINO AL NORTE STE 120
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-2416
Practice Address - Country:US
Practice Address - Phone:702-927-3036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV$$$$$$$$$Medicaid