Provider Demographics
NPI:1982008603
Name:MUY, MONIKA (LCSW)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:MUY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8945 W RUSSELL RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-1225
Mailing Address - Country:US
Mailing Address - Phone:702-476-9294
Mailing Address - Fax:702-201-1793
Practice Address - Street 1:8945 W RUSSELL RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-1225
Practice Address - Country:US
Practice Address - Phone:702-476-9294
Practice Address - Fax:702-201-1793
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106226101YM0800X
NV9853-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA106226OtherBOARD OF BEHAVIORAL SCIENCES : LCSW
NV9853-COtherBOARD OF EXAMINERS FOR SOCIAL WORKERS: LCSW