Healthcare Provider Details

I. General information

NPI: 1457741563
Provider Name (Legal Business Name): HONEY BEE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2015
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6284 S RAINBOW BLVD SUITE 110
LAS VEGAS NV
89118-3244
US

IV. Provider business mailing address

6284 S RAINBOW BLVD STE 110
LAS VEGAS NV
89118-3245
US

V. Phone/Fax

Practice location:
  • Phone: 702-499-2754
  • Fax:
Mailing address:
  • Phone: 702-980-5036
  • Fax: 702-257-0139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number6042-C
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number6042-C
License Number StateNV

VIII. Authorized Official

Name: MS. VENA M.W. DAVIS
Title or Position: OWNER/CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 702-980-5036