LIFESPAN BEHAVIORAL HEALTH NEVADA PC NPI 1114547726

NPI Information

LIFESPAN BEHAVIORAL HEALTH NEVADA PC is a neurology psychiatry neurology in Henderson, NV. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. LIFESPAN BEHAVIORAL HEALTH NEVADA PC NPI is 1114547726. The provider is registered as an organization entity type.

The provider's business location address is:

2505 ANTHEM VILLAGE DR STE E-508
HENDERSON, NV
ZIP 89052-505
Phone: (702) 544-1776

The provider's authorized official is Carolyn Reidy .
The authorized official title is Office Admin and has the following contact phone number (800) 819-7570.

The CLIA number assigned to this NPI record is 29D2265803 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2020 and was last updated on 5/11/2022.

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:

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