Healthcare Provider Details

I. General information

NPI: 1568120566
Provider Name (Legal Business Name): CPF ELITE BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2021
Last Update Date: 12/07/2021
Certification Date: 12/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8455 S EASTERN AVE
LAS VEGAS NV
89123-2894
US

IV. Provider business mailing address

8455 S EASTERN AVE
LAS VEGAS NV
89123-2894
US

V. Phone/Fax

Practice location:
  • Phone: 702-333-0021
  • Fax:
Mailing address:
  • Phone: 702-333-0021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH SCHONIAN
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD, LMFT
Phone: 775-287-3387