Wellformed AI

NPI 1487066585 · live from the CMS NPI Registry

A Place To Be Me Behaviral Health Center

Counselor, Mental Health in N Las Vegas, NV. National Provider Identifier 1487066585, active.

NPI record

NPI1487066585 Type 2 · organization
StatusActive
Primary specialtyCounselor, Mental Health 101YM0800X
Practice location617 W Colton Ave, N Las Vegas, NV 89032
Practice phone702-410-4640
EnumeratedMay 22, 2014
Last updatedMay 22, 2014
Authorized officialLemonte Jefferson, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health primary101YM0800X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.