NPI 1013548817 · live from the CMS NPI Registry
Abraxas Center LLC
Community/Behavioral Health in Las Vegas, NV. National Provider Identifier 1013548817, active.
NPI record
| NPI | 1013548817 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 4575 W Cougar Ave Ste 300, Las Vegas, NV 89139 |
| Practice phone | 702-412-8405 |
| Mailing address | 4262 Blue Diamond Rd # 102-105, Las Vegas, NV 89139 |
| Enumerated | January 30, 2020 |
| Last updated | January 30, 2020 |
| Authorized official | Jenny Casino, Co-Founder |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Adult Mental Health | 261QM0850X | — |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.