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NPI Code Detail

MEDICARE: LIMITLESS BEHAVIORAL HEALTH LLC

MEDICARE: LIMITLESS BEHAVIORAL HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1003366097
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIMITLESS BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 2405 PARASAIL POINT AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-0968
Country : US
Telephone Number : 702-612-2208
Fax Number :
Provider Business Practice Location Address
First Line : 2405 PARASAIL POINT AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-0968
Country : US
Telephone Number : 702-612-2208
Fax Number :
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : ZARANESHIA KIRKSON
Credential :
Telephone Number : 702-612-2208
Provider Enumeration Date : 10/13/2016
Last Update Date : 10/13/2016

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Directions to “LIMITLESS BEHAVIORAL HEALTH LLC ” Practice Location

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