| Trident Behavioral Health Llc | |
|
9315 W Sunset Rd Ste 100 Las Vegas NV 89148-5012 | |
| (702) 638-7705 | |
| (702) 638-7706 |
| Full Name | Trident Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9315 W Sunset Rd Ste 100, Las Vegas, Nevada |
| Authorized Official Name and Position | Belinda Orden (PROVIDER) |
| Authorized Official Contact | 7025337344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trident Behavioral Health Llc 9308 Canalino Dr Las Vegas NV 89134-0538 Ph: (702) 533-7344 | Trident Behavioral Health Llc 9315 W Sunset Rd Ste 100 Las Vegas NV 89148-5012 Ph: (702) 638-7705 |
| NPI Number | 1649990029 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 02/19/2023 |
| Certification Date | 02/19/2023 |
| Medicare PECOS PAC ID | 5698147700 |
|---|---|
| Medicare Enrollment ID | O20230217000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649990029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Belinda Orden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902150840 PECOS PAC ID: 6800010224 Enrollment ID: I20140604002340 |
| Provider Name | Bryan Richard Orden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427762483 PECOS PAC ID: 3072978998 Enrollment ID: I20230428001274 |
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