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NPI Code Detail

MEDICARE: UNIVERSAL MENTAL HEALTH CENTER LLC

MEDICARE: UNIVERSAL MENTAL HEALTH CENTER 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1659051506
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSAL MENTAL HEALTH CENTER LLC
Provider Business Mailing Address
First Line : 3321 N BUFFALO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-6678
Country : US
Telephone Number : 702-857-8800
Fax Number :
Provider Business Practice Location Address
First Line : 3035 S MARYLAND PKWY STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2205
Country : US
Telephone Number : 702-857-8800
Fax Number :
Authorized Official
Title or Position : CEO
Name : SCOTT HILLEGASS
Credential :
Telephone Number : 702-857-8800
Provider Enumeration Date : 07/24/2023
Last Update Date : 07/24/2023

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Directions to “UNIVERSAL MENTAL HEALTH CENTER LLC ” Practice Location

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