MEDICARE: CORE MENTAL HEALTH SERVICES

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629727144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORE MENTAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	8670 SPRING MOUNTAIN RD STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-4102
Country	:	US
Telephone Number	:	725-735-2700
Fax Number	:	725-735-2702

Provider Business Practice Location Address
First Line	:	8670 SPRING MOUNTAIN RD STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-4102
Country	:	US
Telephone Number	:	725-735-2700
Fax Number	:	725-735-2702

Authorized Official
Title or Position	:	OWNER/ CLINICAL DIRECTOR
Name	:	GRISELDA MARIA LLOYD
Credential	:	PH.D., LMFT
Telephone Number	:	702-756-6518

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	03/22/2022

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Directions to “CORE MENTAL HEALTH SERVICES ” Practice Location

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