MEDICARE: HELPING HANDS BEHAVIORAL TREATMENT SERVICES 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
1	251S00000X	Community/Behavioral Health Agency		NV

General Provider Information

NPI Number	:	1114241221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS BEHAVIORAL TREATMENT SERVICES LLC.

Provider Business Mailing Address
First Line	:	343 ABBINGTON ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-4931
Country	:	US
Telephone Number	:	702-451-0484
Fax Number	:	702-368-0484

Provider Business Practice Location Address
First Line	:	2340 PASEO DEL PRADO STE D305-306
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4360
Country	:	US
Telephone Number	:	702-772-9346
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. CHANDA LINETTE HAZELWOOD
Credential	:
Telephone Number	:	702-468-3656

Provider Enumeration Date	:	03/18/2010
Last Update Date	:	03/18/2010

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