Healthcare Provider Details
I. General information
NPI: 1467255703
Provider Name (Legal Business Name): ARROYO BEHAVIORAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9205 WEST RUSSELL ROAD BLDG 3, STE 240
LAS VEGAS NV
89148
US
IV. Provider business mailing address
9205 WEST RUSSELL ROAD BLDG 3, STE 240
LAS VEGAS NV
89148
US
V. Phone/Fax
- Phone: 702-323-8355
- Fax:
- Phone: 702-323-8355
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC2200X |
| Taxonomy | Clinical Child & Adolescent Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SAMANTHA
SHERWOOD
Title or Position: LICENSED PSYCHOLOGIST
Credential: PHD
Phone: 702-323-8355