MEDICARE: UNITY BEHAVIORAL HEALTH & FAMILY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst
2	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013352517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY BEHAVIORAL HEALTH & FAMILY SERVICES

Provider Business Mailing Address
First Line	:	5249 DAWN BREAK CANYON ST
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89031-6627
Country	:	US
Telephone Number	:	702-606-8535
Fax Number	:	702-657-9892

Provider Business Practice Location Address
First Line	:	5249 DAWN BREAK CANYON ST
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89031-6627
Country	:	US
Telephone Number	:	702-606-8535
Fax Number	:	702-657-9892

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MISS DELLISA GLORIES ARMSTRONG
Credential	:
Telephone Number	:	702-606-8535

Provider Enumeration Date	:	05/10/2013
Last Update Date	:	05/10/2013

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