BUTTERFLY WINGS LLC NPI 1023676129

NPI Information

NPI: 1023676129
Provider Name: BUTTERFLY WINGS LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
9445 CORAL BERRY ST
LAS VEGAS, NV
ZIP 89123
Phone: (702) 544-8742
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BUTTERFLY WINGS LLC is a community based residential treatment facility mental illness in Las Vegas, NV. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BUTTERFLY WINGS LLC NPI is 1023676129. The provider is registered as an organization entity type.

The provider's business location address is:

9445 CORAL BERRY ST
LAS VEGAS, NV
ZIP 89123-832
Phone: (702) 544-8742

The provider's authorized official is Shanta Neal .
The authorized official title is Owner and has the following contact phone number (702) 544-8742.

The enumeration date for this NPI number is 6/3/2019 and was last updated on 6/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NA	OTHER		NA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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