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NPI Code Detail

MEDICARE: BEHAVIORAL AND MENTAL MATTERS INCORPORATED

MEDICARE: BEHAVIORAL AND MENTAL MATTERS INCORPORATED
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
11041C0700XClinical Social Worker
2106H00000XMarriage & Family Therapist
32084B0040XBehavioral Neurology & Neuropsychiatry Physician
4251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1821707241
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL AND MENTAL MATTERS INCORPORATED
Provider Business Mailing Address
First Line : 4130 N MARTIN LUTHER KING BLVD STE A
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0299
Country : US
Telephone Number : 702-764-4868
Fax Number :
Provider Business Practice Location Address
First Line : 4130 N MARTIN LUTHER KING BLVD STE A
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0299
Country : US
Telephone Number : 702-764-4868
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : NENETH M SUAREZ
Credential :
Telephone Number : 702-764-4868
Provider Enumeration Date : 11/15/2022
Last Update Date : 11/15/2022

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Directions to “BEHAVIORAL AND MENTAL MATTERS INCORPORATED ” 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.