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General NPI Number Information
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NPI Number | 1477225019
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Entity Type | Organization
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Legal Business Name | NEVADA COUNSELING & BEHAVIORAL CENTER, LLP
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 4630 KRISTEN LN
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City | LAS VEGAS
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State | NV
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Zip | 89121-5442
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Country | US
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Telephone | 702-683-0045
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Fax |
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Provider Business Mailing Address
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Address Line | 3651 LINDELL RD STE D
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City | LAS VEGAS
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State | NV
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Zip | 89103-1200
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Country | US
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Telephone | 702-683-0045
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. SHARON TRACY EVANS-BUTLER
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Credential | M.ED.
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Telephone | 702-683-0045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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License Number State |
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