Healthcare Provider Details

I. General information

NPI: 1780102194
Provider Name (Legal Business Name): ZIONS BEHAVIORAL & MENTORING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6274 MOUNT PALOMAR AVE
LAS VEGAS NV
89139-7202
US

IV. Provider business mailing address

6274 MOUNT PALOMAR AVE
LAS VEGAS NV
89139-7202
US

V. Phone/Fax

Practice location:
  • Phone: 702-592-6728
  • Fax: 702-649-6249
Mailing address:
  • Phone: 702-592-6728
  • Fax: 702-649-6249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MS. JOYCE MARIE HILL
Title or Position: CEO
Credential: BSHS-CFS
Phone: 702-592-6728