Provider Demographics
NPI:1215365176
Name:BIGGS, A'VAUNTAE (RN, LMFTA)
Entity Type:Individual
Prefix:MRS
First Name:A'VAUNTAE
Middle Name:
Last Name:BIGGS
Suffix:
Gender:F
Credentials:RN, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4788 CASA RUSTICA CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8563
Mailing Address - Country:US
Mailing Address - Phone:478-714-6570
Mailing Address - Fax:
Practice Address - Street 1:7391 W CHARLESTON BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1501
Practice Address - Country:US
Practice Address - Phone:702-485-8470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11066A106H00000X
NC243364163WC1500X
NVRN92771163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health