| Maple Star Nevada | |
|
2965 S Jones Blvd Ste E1 Las Vegas NV 89146-5606 | |
| (702) 733-8098 | |
| (702) 395-6457 |
| Full Name | Maple Star Nevada |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2965 S Jones Blvd Ste E1, Las Vegas, Nevada |
| Authorized Official Name and Position | Breeann Hoerning (AR BILLING MANAGER) |
| Authorized Official Contact | 5207476694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Star Nevada 620 N Craycroft Rd Tucson AZ 85711-1448 Ph: (520) 747-6694 | Maple Star Nevada 2965 S Jones Blvd Ste E1 Las Vegas NV 89146-5606 Ph: (702) 733-8098 |
| NPI Number | 1033251731 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033251731 | NPI | - | NPPES |
| 100508694 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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