| Positive Pathways Mental Health Llc | |
|
139 Sand Lake St Henderson NV 89074-1654 | |
| (435) 669-7517 | |
| Not Available |
| Full Name | Positive Pathways Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 139 Sand Lake St, Henderson, Nevada |
| Authorized Official Name and Position | Ryan Ratheal (OWNER) |
| Authorized Official Contact | 4356697517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Pathways Mental Health Llc 139 Sand Lake St Henderson NV 89074-1654 Ph: (435) 669-7517 | Positive Pathways Mental Health Llc 139 Sand Lake St Henderson NV 89074-1654 Ph: (435) 669-7517 |
| NPI Number | 1528830239 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 8426492182 |
|---|---|
| Medicare Enrollment ID | O20240221001666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528830239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ryan Scott Ratheal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366183063 PECOS PAC ID: 8123406063 Enrollment ID: I20220603002399 |
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