MEDICARE: ACCEPTING HEARTS BEHAVIORAL SERVICES

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1891207452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCEPTING HEARTS BEHAVIORAL SERVICES

Provider Business Mailing Address
First Line	:	1720 GATEWOOD DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2518
Country	:	US
Telephone Number	:	702-373-1474
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 GATEWOOD DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2518
Country	:	US
Telephone Number	:	702-373-1474
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. ELLA RENE WILEY
Credential	:	BA
Telephone Number	:	702-373-1474

Provider Enumeration Date	:	11/03/2017
Last Update Date	:	11/03/2017

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Directions to “ACCEPTING HEARTS BEHAVIORAL SERVICES ” Practice Location

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