MEDICARE: BELIEVING IN KIDS EXCELLING

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	:	1922592310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELIEVING IN KIDS EXCELLING

Provider Business Mailing Address
First Line	:	8540 AMBER STAR ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-7044
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8540 AMBER STAR ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-7044
Country	:	US
Telephone Number	:	702-587-3196
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	VIRGIL HURD
Credential	:
Telephone Number	:	702-587-3169

Provider Enumeration Date	:	06/19/2018
Last Update Date	:	06/19/2018

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