Beryl Behavioral Llc | |
3663 E Sunset Rd Ste 107e Las Vegas NV 89120-3218 | |
(323) 203-7694 | |
Not Available |
Full Name | Beryl Behavioral Llc |
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Speciality | Community/Behavioral Health |
Location | 3663 E Sunset Rd Ste 107e, Las Vegas, Nevada |
Authorized Official Name and Position | Jezryl Celiz (MANAGER) |
Authorized Official Contact | 3232037694 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beryl Behavioral Llc 3663 E Sunset Rd Ste 107e Las Vegas NV 89120-3218 Ph: () - | Beryl Behavioral Llc 3663 E Sunset Rd Ste 107e Las Vegas NV 89120-3218 Ph: (323) 203-7694 |
NPI Number | 1558103531 |
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Provider Enumeration Date | 06/10/2024 |
Last Update Date | 06/10/2024 |
Certification Date | 06/10/2024 |
Medicare PECOS PAC ID | 1052845476 |
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Medicare Enrollment ID | O20241107003169 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558103531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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