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NPI Code Detail

MEDICARE: RELIEF PSYCHIATRY OF LAS VEGAS PLLC

MEDICARE: RELIEF PSYCHIATRY OF LAS VEGAS PLLC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1447113915
Entity Type Code : Organization
Provider Name (Legal Business Name) : RELIEF PSYCHIATRY OF LAS VEGAS PLLC
Provider Business Mailing Address
First Line : 20280 GOVERNORS HWY STE 106
Second Line :
City : OLYMPIA FIELDS
State : IL
Zip : 60461-1068
Country : US
Telephone Number : 708-729-9006
Fax Number :
Provider Business Practice Location Address
First Line : 9402 W LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-8312
Country : US
Telephone Number : 725-485-3917
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. JAMES ELDRIDGE YOUNG
Credential : APRN
Telephone Number : 725-485-3917
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “RELIEF PSYCHIATRY OF LAS VEGAS PLLC ” Practice Location

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