MEDICARE: WORLD WIDE BEHAVIORAL SOLUTIONS

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

General Provider Information

NPI Number	:	1518777382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORLD WIDE BEHAVIORAL SOLUTIONS

Provider Business Mailing Address
First Line	:	631 N STEPHANIE ST STE 579
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-2633
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4185 VEGAS VALLEY DR STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-2522
Country	:	US
Telephone Number	:	702-629-5555
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	KIYONNA COLE
Credential	:
Telephone Number	:	702-277-5406

Provider Enumeration Date	:	01/13/2025
Last Update Date	:	01/13/2025

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