MEDICARE: SUNSET BEHAVIORAL

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1538596796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSET BEHAVIORAL

Provider Business Mailing Address
First Line	:	3431 E SUNSET RD STE 8
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3253
Country	:	US
Telephone Number	:	702-686-8807
Fax Number	:

Provider Business Practice Location Address
First Line	:	3431 E SUNSET RD STE 8
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3253
Country	:	US
Telephone Number	:	702-686-8807
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AVERY PAPESH
Credential	:
Telephone Number	:	702-686-8807

Provider Enumeration Date	:	10/02/2013
Last Update Date	:	10/02/2013

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Directions to “SUNSET BEHAVIORAL ” Practice Location

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