Provider Demographics
NPI:1407103781
Name:FLEURANTUS, GUERLENE
Entity Type:Individual
Prefix:MS
First Name:GUERLENE
Middle Name:
Last Name:FLEURANTUS
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 1:4365 TERRACE HILL # 201
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NEVADA
Mailing Address - Zip Code:89103
Mailing Address - Country:UM
Mailing Address - Phone:702-281-6273
Mailing Address - Fax:
Practice Address - Street 1:4365 TERRACE HILL RD APT 201
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3495
Practice Address - Country:US
Practice Address - Phone:702-281-6273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0900106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist