MEDICARE: FAMILIES FIRST BEHAVIORAL HEALTH 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	251S00000X	Community/Behavioral Health Agency		NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902230535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILIES FIRST BEHAVIORAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	3160 S VALLEY VIEW BLVD STE 107
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8316
Country	:	US
Telephone Number	:	702-445-7611
Fax Number	:	702-445-7918

Provider Business Practice Location Address
First Line	:	3160 S VALLEY VIEW BLVD STE 107
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8316
Country	:	US
Telephone Number	:	702-445-7611
Fax Number	:	702-445-7918

Authorized Official
Title or Position	:	OWNER
Name	:	MS. AUDREY ADELE SHELLEY
Credential	:
Telephone Number	:	702-776-1132

Provider Enumeration Date	:	08/30/2013
Last Update Date	:	08/30/2013

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Directions to “FAMILIES FIRST BEHAVIORAL HEALTH SERVICES ” Practice Location

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