| Resolutions Behavioral Health Therapy | |
|
6655 W Sahara Ave Ste A112 Las Vegas NV 89146-2805 | |
| (702) 462-1813 | |
| Not Available |
| Full Name | Resolutions Behavioral Health Therapy |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6655 W Sahara Ave Ste A112, Las Vegas, Nevada |
| Authorized Official Name and Position | Marlon Leon Blanks (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7024621813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolutions Behavioral Health Therapy 6655 W Sahara Ave Ste A112 Las Vegas NV 89146-2805 Ph: (702) 462-1813 | Resolutions Behavioral Health Therapy 6655 W Sahara Ave Ste A112 Las Vegas NV 89146-2805 Ph: (702) 462-1813 |
| NPI Number | 1487016887 |
|---|---|
| Provider Enumeration Date | 03/24/2016 |
| Last Update Date | 12/11/2018 |
| Medicare PECOS PAC ID | 1658660014 |
|---|---|
| Medicare Enrollment ID | O20160525001453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487016887 | NPI | - | NPPES |
| 1487016887 | Other | NV | TRICARE WEST |
| 1487016887 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Marlon Leon Blanks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629139696 PECOS PAC ID: 5698948255 Enrollment ID: I20160613000402 |
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