Healthcare Provider Details

I. General information

NPI: 1275988107
Provider Name (Legal Business Name): ALLIANCE MENTAL HEALTH SPECIALISTS SUBA PARK CHENG PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2016
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4270 S DECATUR BLVD STE B6
LAS VEGAS NV
89103-6802
US

IV. Provider business mailing address

4270 S DECATUR BLVD STE B6
LAS VEGAS NV
89103-6802
US

V. Phone/Fax

Practice location:
  • Phone: 702-485-2100
  • Fax: 725-433-8734
Mailing address:
  • Phone: 702-485-2100
  • Fax: 725-433-8734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number13792
License Number StateNV

VIII. Authorized Official

Name: SYMON GARRAEZ
Title or Position: RCM MANAGER
Credential:
Phone: 720-835-5915