Provider Demographics
NPI:1932825908
Name:A TO Z THERAPY, LLC
Entity Type:Organization
Organization Name:A TO Z THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:LILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-818-9114
Mailing Address - Street 1:5858 S PECOS RD STE 600
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-5405
Mailing Address - Country:US
Mailing Address - Phone:702-333-4473
Mailing Address - Fax:702-463-1693
Practice Address - Street 1:5858 S PECOS RD STE 600
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-5405
Practice Address - Country:US
Practice Address - Phone:702-333-4473
Practice Address - Fax:702-463-1693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVNV2022591619Medicaid
NVNV20225916519OtherSECRETARY OF STATE