MEDICARE: TRANSPARENT BEHAVIORAL HEALTH

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	:	1831472075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSPARENT BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	2962 MANSFIELD AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-1306
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2962 MANSFIELD AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-1306
Country	:	US
Telephone Number	:	702-582-9804
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH SCOTT
Credential	:
Telephone Number	:	702-582-9804

Provider Enumeration Date	:	09/23/2011
Last Update Date	:	09/23/2011

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Directions to “TRANSPARENT BEHAVIORAL HEALTH ” Practice Location

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