MEDICARE: GODSPEED BEHAVIORAL HEALTH L.L.C

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	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1518481530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GODSPEED BEHAVIORAL HEALTH L.L.C

Provider Business Mailing Address
First Line	:	3805 FUSELIER DR
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032-3003
Country	:	US
Telephone Number	:	503-888-0810
Fax Number	:

Provider Business Practice Location Address
First Line	:	3805 FUSILIER DR
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032
Country	:	US
Telephone Number	:	503-888-0810
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	RICHMOND ASAMOAH
Credential	:
Telephone Number	:	503-888-0810

Provider Enumeration Date	:	08/01/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1508634213 — MRS. KRYSTAL ZAMORA LUNA LMSW, CSW INTERN
Practice Location Address:

4538 W CRAIG RD STE 290
N LAS VEGAS, NV
89032-2511

Practice Phone: 702-486-0012
Practice Fax:

1932062254 — STEPHANIE ROSAURA MARTINEZ PA
Practice Location Address:

4060 N MARTIN L KING BLVD STE 101
NORTH LAS VEGAS, NV
89032-3213

Practice Phone: 702-381-3989
Practice Fax:

1962407429 — DR. SETH K ADJOVU MD
Practice Location Address:

1550 W CRAIG RD STE 220
N LAS VEGAS, NV
89032-0329

Practice Phone: 702-602-7828
Practice Fax: 702-399-8431

1285606301 — MS. ELENI CHRISTINA METROS PHYSICAL THERAPIST
Practice Location Address:

955 W CRAIG RD STE 103
N LAS VEGAS, NV
89032-0279

Practice Phone: 725-726-7847
Practice Fax: 725-726-7876

1972569333 — SUSAN GALVIN M.D.
Practice Location Address:

4040 N MARTIN LUTHER KING BLVD , STE A
NORTH LAS VEGAS, NV
89032

Practice Phone: 702-644-4673
Practice Fax: 702-902-5443

1326097593 — MS. SUSAN RAFTERY PIERCE R.PH.
Practice Location Address:

2455 W CHEYENNE AVE
N LAS VEGAS, NV
89032-4325

Practice Phone: 702-636-3000
Practice Fax: 702-636-3069

Directions to “GODSPEED BEHAVIORAL HEALTH L.L.C ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.