MEDICARE: NEHEMIAH BEHAVIORAL 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1760974562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEHEMIAH BEHAVIORAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	700 W VAN BUREN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3043
Country	:	US
Telephone Number	:	702-522-8370
Fax Number	:	702-665-4836

Provider Business Practice Location Address
First Line	:	700 W VAN BUREN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3043
Country	:	US
Telephone Number	:	702-522-8370
Fax Number	:	702-665-4836

Authorized Official
Title or Position	:	OWNER
Name	:	WALTER JONES III
Credential	:
Telephone Number	:	702-522-8370

Provider Enumeration Date	:	06/06/2018
Last Update Date	:	06/06/2018

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