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General NPI Number Information
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NPI Number | 1528830239
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Entity Type | Organization
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Legal Business Name | POSITIVE PATHWAYS MENTAL HEALTH LLC
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 8955 S PECOS RD STE 1B
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City | HENDERSON
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State | NV
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Zip | 89074-7157
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Country | US
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Telephone | 702-472-7445
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Fax | 800-306-1747
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Provider Business Mailing Address
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Address Line | 8955 S PECOS RD STE 1B
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City | HENDERSON
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State | NV
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Zip | 89074-7157
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Country | US
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Telephone | 702-472-7445
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Fax | 800-306-1747
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Authorized Official
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Title or Position | OWNER
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Name | RYAN RATHEAL
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Credential | APRN
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Telephone | 801-707-0963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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