Healthcare Provider Details

I. General information

NPI: 1780399089
Provider Name (Legal Business Name): PATON & ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2023
Last Update Date: 10/28/2023
Certification Date: 10/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 S POINTE CIR STE 112
LAUGHLIN NV
89029-0422
US

IV. Provider business mailing address

3650 S POINTE CIR STE 112
LAUGHLIN NV
89029-0422
US

V. Phone/Fax

Practice location:
  • Phone: 725-203-2810
  • Fax: 725-204-0138
Mailing address:
  • Phone: 725-203-2810
  • Fax: 725-204-0138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KENNETH MMAC PATON
Title or Position: OWNER/PROVIDER
Credential: PA-C
Phone: 725-203-2810