| The Village Behavior Health Services, Llc | |
|
6330 Mcleod Dr Suite 4&5 Las Vegas NV 89120-4430 | |
| (702) 437-0341 | |
| Not Available |
| Full Name | The Village Behavior Health Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6330 Mcleod Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Randy Fulton (CO OWNER) |
| Authorized Official Contact | 6192060963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village Behavior Health Services, Llc 17127 W Bernardo Dr Unit 207 San Diego CA 92127-1513 Ph: (619) 206-0963 | The Village Behavior Health Services, Llc 6330 Mcleod Dr Suite 4&5 Las Vegas NV 89120-4430 Ph: (702) 437-0341 |
| NPI Number | 1003173196 |
|---|---|
| Provider Enumeration Date | 04/13/2012 |
| Last Update Date | 04/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003173196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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