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NPI Code Detail

MEDICARE: BLOCQ BEHAVIORAL HEALTH LLC

MEDICARE: BLOCQ 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1417805557
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLOCQ BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 732 S 6TH ST STE N
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6928
Country : US
Telephone Number : 725-347-4974
Fax Number :
Provider Business Practice Location Address
First Line : 732 S 6TH ST STE N
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6928
Country : US
Telephone Number : 725-347-4974
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KATHERIN MENDEZ
Credential :
Telephone Number : 725-347-4974
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “BLOCQ BEHAVIORAL HEALTH LLC ” Practice Location

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