Provider Demographics
NPI:1881834950
Name:NESHEIWAT, RITA FAYROUS (MFT INTERN)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:FAYROUS
Last Name:NESHEIWAT
Suffix:
Gender:F
Credentials:MFT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3725 KIT FOX ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89122-3619
Mailing Address - Country:US
Mailing Address - Phone:702-321-9546
Mailing Address - Fax:
Practice Address - Street 1:3663 E SUNSET RD
Practice Address - Street 2:SUITE 102
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3218
Practice Address - Country:US
Practice Address - Phone:702-321-9546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist