Provider Demographics
NPI: | 1609409226 |
---|---|
Name: | RHONDA L KILDEA, MA MFT-PC |
Entity type: | Organization |
Organization Name: | RHONDA L KILDEA, MA MFT-PC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CLINICAL DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | RHONDA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | KILDEA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MFT |
Authorized Official - Phone: | 702-245-6677 |
Mailing Address - Street 1: | 7361 W CHARLESTON BLVD STE 130 |
Mailing Address - Street 2: | |
Mailing Address - City: | LAS VEGAS |
Mailing Address - State: | NV |
Mailing Address - Zip Code: | 89117-1576 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 702-245-6677 |
Mailing Address - Fax: | 702-685-0549 |
Practice Address - Street 1: | 7361 W CHARLESTON BLVD STE 130 |
Practice Address - Street 2: | |
Practice Address - City: | LAS VEGAS |
Practice Address - State: | NV |
Practice Address - Zip Code: | 89117-1576 |
Practice Address - Country: | US |
Practice Address - Phone: | 702-245-6677 |
Practice Address - Fax: | 702-685-0549 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-02-21 |
Last Update Date: | 2020-02-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Single Specialty |