Healthcare Provider Details

I. General information

NPI: 1013352517
Provider Name (Legal Business Name): UNITY BEHAVIORAL HEALTH & FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2013
Last Update Date: 05/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5249 DAWN BREAK CANYON ST
N LAS VEGAS NV
89031-6627
US

IV. Provider business mailing address

5249 DAWN BREAK CANYON ST
N LAS VEGAS NV
89031-6627
US

V. Phone/Fax

Practice location:
  • Phone: 702-606-8535
  • Fax: 702-657-9892
Mailing address:
  • Phone: 702-606-8535
  • Fax: 702-657-9892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MISS DELLISA GLORIES ARMSTRONG
Title or Position: DIRECTOR
Credential:
Phone: 702-606-8535