Provider Demographics
NPI:1578003190
Name:MCFARLAND-BINGHAM, DEKESHA (MA)
Entity Type:Individual
Prefix:MRS
First Name:DEKESHA
Middle Name:
Last Name:MCFARLAND-BINGHAM
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 N GREEN VALLEY PKWY
Mailing Address - Street 2:BLDG. D SUITE 116
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-0273
Mailing Address - Country:US
Mailing Address - Phone:702-605-2766
Mailing Address - Fax:702-938-9056
Practice Address - Street 1:2501 N GREEN VALLEY PKWY
Practice Address - Street 2:BLDG. D SUITE 116
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-0273
Practice Address - Country:US
Practice Address - Phone:702-605-2766
Practice Address - Fax:702-938-9056
Is Sole Proprietor?:No
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0817106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist