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NPI Code Detail

MEDICARE: PREMIER BEHAVIORAL HEALTHCARE

MEDICARE: PREMIER BEHAVIORAL HEALTHCARE
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
1106H00000XMarriage & Family Therapist01030NV

General Provider Information

NPI Number : 1992001218
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER BEHAVIORAL HEALTHCARE
Provider Business Mailing Address
First Line : 4425 S JONES BLVD STE D3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3370
Country : US
Telephone Number : 702-685-0674
Fax Number : 702-566-4575
Provider Business Practice Location Address
First Line : 4425 S JONES BLVD STE D3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3370
Country : US
Telephone Number : 702-685-0674
Fax Number : 702-566-4575
Authorized Official
Title or Position : PRESIDENT
Name : DAWN SARNA
Credential : MFT
Telephone Number : 702-685-0674
Provider Enumeration Date : 02/03/2011
Last Update Date : 02/03/2011

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Directions to “PREMIER BEHAVIORAL HEALTHCARE ” Practice Location

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