Healthcare Provider Details
I. General information
NPI: 1104561224
Provider Name (Legal Business Name): NEW PERSPECTIVES BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2022
Last Update Date: 07/26/2022
Certification Date: 07/26/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1321 HIGHWAY 160 #3F
PAHRUMP NV
89048
US
IV. Provider business mailing address
8275 S EASTERN AVE STE 200
LAS VEGAS NV
89123-2545
US
V. Phone/Fax
- Phone: 435-229-3245
- Fax:
- Phone: 435-229-3245
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084B0040X |
| Taxonomy | Behavioral Neurology & Neuropsychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041S0200X |
| Taxonomy | School Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRENT
D
HOFHINES
Title or Position: MANAGING MEMBER
Credential: LCSW
Phone: 435-229-3245