Healthcare Provider Details

I. General information

NPI: 1235647546
Provider Name (Legal Business Name): L&H BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2018
Last Update Date: 01/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N PECOS RD STE 113
LAS VEGAS NV
89101-4800
US

IV. Provider business mailing address

101 N PECOS RD STE 113
LAS VEGAS NV
89101-4800
US

V. Phone/Fax

Practice location:
  • Phone: 702-716-3603
  • Fax: 702-453-1333
Mailing address:
  • Phone: 702-716-3603
  • Fax: 702-453-1333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHIRLEY ANN RILEY-COLLIER
Title or Position: CEO
Credential:
Phone: 702-716-3603