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General NPI Number Information
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NPI Number | 1457742975
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Entity Type | Organization
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Legal Business Name | NEVADA INTEGRATED BEHAVIORAL SERVICES INC.
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1721 E CHARLESTON BLVD STE 310
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City | LAS VEGAS
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State | NV
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Zip | 89104-1902
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Country | US
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Telephone | 702-685-0620
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Fax | 702-685-9674
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Provider Business Mailing Address
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Address Line | 1721 E CHARLESTON BLVD STE 310
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City | LAS VEGAS
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State | NV
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Zip | 89104-1902
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Country | US
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Telephone | 702-515-9680
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. FESTUS EBONKA
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Credential | NURSE PRACTITIONER
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Telephone | 702-515-9680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #6
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #7
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #8
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #9
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #11
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #12
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #13
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #14
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | NV20131553514
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License Number State | NV
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Taxonomy #15
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | NV20131553514
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License Number State | NV
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