Provider Demographics
NPI:1417843848
Name:STOYNOVA, IRINA (CPC-I)
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:STOYNOVA
Suffix:
Gender:F
Credentials:CPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10604 MOON FLOWER ARBOR PL
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-4284
Mailing Address - Country:US
Mailing Address - Phone:725-261-9684
Mailing Address - Fax:
Practice Address - Street 1:6730 S FORT APACHE RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5396
Practice Address - Country:US
Practice Address - Phone:702-665-5593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCI5566101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health