Healthcare Provider Details

I. General information

NPI: 1942059431
Provider Name (Legal Business Name): ASPIRE BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2024
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 E ROCHELLE AVE STE B
LAS VEGAS NV
89121-5301
US

IV. Provider business mailing address

7260 W AZURE DR STE 140-447
LAS VEGAS NV
89130-7999
US

V. Phone/Fax

Practice location:
  • Phone: 702-789-7282
  • Fax:
Mailing address:
  • Phone: 702-265-8436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. LISA SHAYNE RUIZ-LEE
Title or Position: OWNER
Credential:
Phone: 702-265-8436