|
| |
|
2755 E Desert Inn Rd Ste 260 Las Vegas NV 89121-3690 | |
| (702) 490-9009 | |
| (866) 737-6147 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2755 E Desert Inn Rd Ste 260, Las Vegas, Nevada |
| Authorized Official Name and Position | Keisha Graham (OPERATIONS) |
| Authorized Official Contact | 7024909009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2620 S Maryland Pkwy # 14-199 Las Vegas NV 89109-8300 Ph: (702) 490-9009 | 2755 E Desert Inn Rd Ste 260 Las Vegas NV 89121-3690 Ph: (702) 490-9009 |
| NPI Number | 1013330695 |
|---|---|
| Provider Enumeration Date | 02/02/2014 |
| Last Update Date | 11/30/2024 |
| Certification Date | 11/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013330695 | NPI | - | NPPES |
| 1015873316 | Medicaid | NV | |
| 1063780500 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Creating Empowerment Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4773 Madrid Ridge Ct, Las Vegas, NV 89129 Phone: 702-656-9890 Fax: 702-656-9152 | |
No Obstacles Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8565 S Eastern Ave, Suite 174, Las Vegas, NV 89123 Phone: 702-462-3082 | |
The Village Behavior Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Mcleod Dr, Suite 4&5, Las Vegas, NV 89120 Phone: 702-437-0341 | |
Journey Community Health Organization Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6512 N Decatur Blvd, Suite 130-114, Las Vegas, NV 89131 Phone: 702-830-2481 Fax: 702-664-0648 |