Healthcare Provider Details

I. General information

NPI: 1952782195
Provider Name (Legal Business Name): INSIGHT NEVADA HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2015
Last Update Date: 04/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 W CHARLESTON BLVD STE 121
LAS VEGAS NV
89146-9237
US

IV. Provider business mailing address

6600 W CHARLESTON BLVD STE 121
LAS VEGAS NV
89146-9237
US

V. Phone/Fax

Practice location:
  • Phone: 702-527-7510
  • Fax: 702-527-7508
Mailing address:
  • Phone: 702-527-7510
  • Fax: 702-527-7508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State

VIII. Authorized Official

Name: FELECIA MAY
Title or Position: OWNER
Credential:
Phone: 702-239-6230