Provider Demographics
NPI:1073813200
Name:DIGGS, ANTHONY ALEXANDER
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:ALEXANDER
Last Name:DIGGS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 WESTMINSTER HALL AVE UNIT 101
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-5638
Mailing Address - Country:US
Mailing Address - Phone:702-427-4006
Mailing Address - Fax:
Practice Address - Street 1:450 WESTMINSTER HALL AVE UNIT 101
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-5638
Practice Address - Country:US
Practice Address - Phone:702-427-4006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-21
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health