| Beyond Blue Health Services | |
|
5135 Camino Al Norte North Las Vegas NV 89031-2387 | |
| (702) 417-4702 | |
| Not Available |
| Full Name | Beyond Blue Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5135 Camino Al Norte, North Las Vegas, Nevada |
| Authorized Official Name and Position | Quanika Shuntaaye Simpson-jackosn (OWNER) |
| Authorized Official Contact | 7024174702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Blue Health Services 5135 Camino Al Norte North Las Vegas NV 89031-2387 Ph: (702) 417-4702 | Beyond Blue Health Services 5135 Camino Al Norte North Las Vegas NV 89031-2387 Ph: (702) 417-4702 |
| NPI Number | 1710448618 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 03/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710448618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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