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NPI Code Detail

MEDICARE: SUNSHINE MENTAL HEALTH & WELLNESS

MEDICARE: SUNSHINE MENTAL HEALTH & WELLNESS
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1285282327
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSHINE MENTAL HEALTH & WELLNESS
Provider Business Mailing Address
First Line : 4714 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4709
Country : US
Telephone Number : 702-296-4844
Fax Number :
Provider Business Practice Location Address
First Line : 4714 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4709
Country : US
Telephone Number : 702-296-4844
Fax Number :
Authorized Official
Title or Position : CEO
Name : IBIANDI MARQUETTI
Credential :
Telephone Number : 702-296-4844
Provider Enumeration Date : 09/02/2019
Last Update Date : 09/02/2019

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Directions to “SUNSHINE MENTAL HEALTH & WELLNESS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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