Latayvia Renee Shade, QBA
Latayvia Renee Shade, QBA is an Addiction (Substance Use Disorder) Counselor in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
4288 Cartegena WayLas Vegas, NV 89121-6504
Phone: (615) 347-3115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1619618543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | QBA |
| Sole proprietor | Yes |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | April 5, 2022 |
| Certification date | April 5, 2022 |
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