Healthcare Provider Details

I. General information

NPI: 1033929260
Provider Name (Legal Business Name): ASPIRE BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
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: 702-789-7282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

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