| Bespoke Treatment Llc | |
|
2820 W Charleston Blvd Ste 38 Las Vegas NV 89102-1934 | |
| (833) 867-2329 | |
| (833) 867-3757 |
| Full Name | Bespoke Treatment Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2820 W Charleston Blvd Ste 38, Las Vegas, Nevada |
| Authorized Official Name and Position | Thi Hoang (BUSINESS OFFICE REPRESENTATIVE) |
| Authorized Official Contact | 7022058232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bespoke Treatment Llc 12381 Wilshire Blvd Ste 205 Los Angeles CA 90025-1063 Ph: (833) 867-2329 | Bespoke Treatment Llc 2820 W Charleston Blvd Ste 38 Las Vegas NV 89102-1934 Ph: (833) 867-2329 |
| NPI Number | 1356054019 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356054019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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