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NPI Code Detail

MEDICARE: CRISIS TEAM LLC

MEDICARE: CRISIS TEAM 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QM1300XMulti-Specialty Clinic/Center
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1467272229
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRISIS TEAM LLC
Provider Business Mailing Address
First Line : 6736 LAVENDER LILLY LN UNIT 1
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-3307
Country : US
Telephone Number : 702-574-4550
Fax Number :
Provider Business Practice Location Address
First Line : 6736 LAVENDER LILLY LN UNIT 1
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-3307
Country : US
Telephone Number : 702-574-4550
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ROBERT LEONEL MORALES
Credential :
Telephone Number : 702-574-4550
Provider Enumeration Date : 10/15/2024
Last Update Date : 10/15/2024

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Directions to “CRISIS TEAM LLC ” Practice Location

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