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1477225019 NPI number — NEVADA COUNSELING & BEHAVIORAL CENTER, LLP

NPI Number: 1477225019
Health Care Provider/Practitioner: NEVADA COUNSELING & BEHAVIORAL CENTER, LLP

Information about “1477225019” NPI (NEVADA COUNSELING & BEHAVIORAL CENTER, LLP) exists in 1477225019 in HTML format HTML  |  1477225019 in plain Text format TXT  |  1477225019 in PDF (Portable Document Format) PDF  |  1477225019 in an XML format XML  formats.

NPI Number : 1477225019 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477225019",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "NEVADA COUNSELING & BEHAVIORAL CENTER, LLP.",
    "ParentOrgTIN": null,
    "OrgName": "NEVADA COUNSELING & BEHAVIORAL CENTER, LLP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3651 LINDELL RD STE D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89103-1200",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-683-0045",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4630 KRISTEN LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89121-5442",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-683-0045",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/01/2021",
    "LastUpdateDate": "10/01/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EVANS-BUTLER",
    "AuthorizedOfficialFirstName": "SHARON",
    "AuthorizedOfficialMiddleName": "TRACY",
    "AuthorizedOfficialTitle": "OWNER/OPERATOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.ED.",
    "AuthorizedOfficialTelephoneNumber": "702-683-0045",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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