| Creative Life Behavioral Health Service | |
|
5175 Camino El Norte Suite #100 North Las Vegas NV 89031 | |
| (702) 648-3913 | |
| Not Available |
| Full Name | Creative Life Behavioral Health Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5175 Camino El Norte, North Las Vegas, Nevada |
| Authorized Official Name and Position | Charletta I Banks (BEHAVIORAL HEALTH SPECIALIST) |
| Authorized Official Contact | 7022493668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Life Behavioral Health Service 5175 Camino El Norte Suite #100 North Las Vegas NV 89031 Ph: (702) 648-3913 | Creative Life Behavioral Health Service 5175 Camino El Norte Suite #100 North Las Vegas NV 89031 Ph: (702) 648-3913 |
| NPI Number | 1538500699 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538500699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | X (Nevada) | Primary |
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