| Behavioral And Health Management Llc | |
|
1500 E Tropicana Ave Ste 155 Las Vegas NV 89119-6516 | |
| (702) 201-6667 | |
| Not Available |
| Full Name | Behavioral And Health Management Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 E Tropicana Ave Ste 155, Las Vegas, Nevada |
| Authorized Official Name and Position | Renato Guerra Gonzales (CO-OWNER) |
| Authorized Official Contact | 7022016667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral And Health Management Llc 1500 E Tropicana Ave Ste 155 Las Vegas NV 89119-6516 Ph: (702) 201-6667 | Behavioral And Health Management Llc 1500 E Tropicana Ave Ste 155 Las Vegas NV 89119-6516 Ph: (702) 201-6667 |
| NPI Number | 1225656358 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 04/06/2021 |
| Certification Date | 04/06/2021 |
| Medicare PECOS PAC ID | 2567848419 |
|---|---|
| Medicare Enrollment ID | O20220930000942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225656358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ma Celestina L Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013596220 PECOS PAC ID: 3870998610 Enrollment ID: I20210817003924 |
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