NPI 1205407178 · live from the CMS NPI Registry
Advantage Behavioral Health LLC
Counselor, Mental Health in Las Vegas, NV. National Provider Identifier 1205407178, active.
NPI record
| NPI | 1205407178 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 2625 S Rainbow Blvd Ste C102, Las Vegas, NV 89146 |
| Practice phone | 702-403-7999 |
| Enumerated | July 1, 2021 |
| Last updated | July 1, 2021 |
| Authorized official | Michael Amato Von Hemert, Managing Menber |
| Other names | Advantage Behavioral Health LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | — |
| Behavior Technician | 106S00000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Assistant Behavior Analyst | 106E00000X | — |
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.