NPI 1376134866 · live from the CMS NPI Registry
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Clinic/Center, Mental Health (Including Community Mental Health Center) in Las Vegas, NV. National Provider Identifier 1376134866, active.
NPI record
| NPI | 1376134866 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Mental Health (Including Community Mental Health Center) 261QM0801X |
| Practice location | 3430 E Flamingo Rd Ste 311, Las Vegas, NV 89121 |
| Practice phone | 725-204-7591 |
| Enumerated | January 28, 2021 |
| Last updated | January 28, 2021 |
| Authorized official | Amberly Stanfill, Co-Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Social Worker | 104100000X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) primary | 261QM0801X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.