Provider Demographics
NPI:1811674732
Name:THERAPYINC, PLLC.
Entity type:Organization
Organization Name:THERAPYINC, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KYNAYDIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:NELSON-WRENCHER
Authorized Official - Suffix:
Authorized Official - Credentials:CPC-I
Authorized Official - Phone:702-695-7295
Mailing Address - Street 1:5940 S RAINBOW BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-2507
Mailing Address - Country:US
Mailing Address - Phone:702-527-8032
Mailing Address - Fax:
Practice Address - Street 1:1180 N TOWN CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-6308
Practice Address - Country:US
Practice Address - Phone:702-527-8032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty