| Innovative Psychiatry Llc | |
|
375 N Stephanie St Ste 811 Henderson NV 89014-8725 | |
| (702) 259-0662 | |
| (702) 446-8363 |
| Full Name | Innovative Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 375 N Stephanie St Ste 811, Henderson, Nevada |
| Authorized Official Name and Position | Barbara Jean Adamczak (CEO) |
| Authorized Official Contact | 7022940433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Psychiatry Llc 375 N Stephanie St Ste 811 Henderson NV 89014-8725 Ph: (702) 259-0662 | Innovative Psychiatry Llc 375 N Stephanie St Ste 811 Henderson NV 89014-8725 Ph: (702) 259-0662 |
| NPI Number | 1427662907 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427662907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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