| Ims Behavioral Health Llc | |
|
2860 E Flamingo Rd Ste D Las Vegas NV 89121-5270 | |
| (702) 202-0291 | |
| Not Available |
| Full Name | Ims Behavioral Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2860 E Flamingo Rd Ste D, Las Vegas, Nevada |
| Authorized Official Name and Position | Ivette Stephanie Retirado (MANAGER) |
| Authorized Official Contact | 7022020291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ims Behavioral Health Llc 2860 E Flamingo Rd Ste D Las Vegas NV 89121-5270 Ph: (702) 202-0291 | Ims Behavioral Health Llc 2860 E Flamingo Rd Ste D Las Vegas NV 89121-5270 Ph: (702) 202-0291 |
| NPI Number | 1902371131 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Medicare PECOS PAC ID | 7810226370 |
|---|---|
| Medicare Enrollment ID | O20190909001187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902371131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrea G Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447609169 PECOS PAC ID: 5799025029 Enrollment ID: I20191010001260 |
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