Healthcare Provider Details
I. General information
NPI: 1518846062
Provider Name (Legal Business Name): SOUTHERN NEVADA ADDICTION PARTNERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/28/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9496 KNOPFLER LN
LAS VEGAS NV
89148-6703
US
IV. Provider business mailing address
2880 BICENTENNIAL PKWY STE 100
HENDERSON NV
89044-4484
US
V. Phone/Fax
- Phone: 702-449-1716
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MAUREEN
STROHM
Title or Position: OWNER
Credential: MD
Phone: 702-449-1716