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General NPI Number Information
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NPI Number | 1285394080
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH PROVIDERS OF NEVADA
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Dates
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Enumeration Date | 12/21/2021
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 2620 REGATTA DR STE 246A
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City | LAS VEGAS
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State | NV
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Zip | 89128-6891
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Country | US
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Telephone | 702-901-5804
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Fax | 725-246-2458
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Provider Business Mailing Address
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Address Line | 2550 E DESERT INN RD # 268
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City | LAS VEGAS
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State | NV
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Zip | 89121-3611
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Country | US
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Telephone | 702-901-5804
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Fax | 725-246-2458
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBORAH LOUISE PERKINS
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Credential |
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Telephone | 725-221-4340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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