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General NPI Number Information
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NPI Number | 1710872445
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Entity Type | Organization
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Legal Business Name | T.I.P.I.P.S BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 2951 SIENA HEIGHTS DR APT 1013
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City | HENDERSON
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State | NV
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Zip | 89052-3875
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Country | US
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Telephone | 702-981-3363
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 777761
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City | HENDERSON
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State | NV
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Zip | 89077-7761
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Country | US
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Telephone | 702-981-3363
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | L'TANYA DENISE GREEN
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Credential | MBA, LBSW, CADC
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Telephone | 702-981-3363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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