MEDICARE: BUSY BEE BEHAVIORAL HEALTH LLC

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	251S00000X	Community/Behavioral Health Agency

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	:	1265772628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUSY BEE BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	6158 BELMONT SHORES ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-6005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6158 BELMONT SHORES ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-6005
Country	:	US
Telephone Number	:	702-502-2504
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MS. MARY MITCHELL
Credential	:
Telephone Number	:	702-502-2504

Provider Enumeration Date	:	02/21/2013
Last Update Date	:	02/21/2013

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