STEADFAST BEHAVIORAL CLINIC LLC NPI 1447866801

NPI Information

NPI: 1447866801
Provider Name: STEADFAST BEHAVIORAL CLINIC LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
8612 COPPER KNOLL AVE
LAS VEGAS, NV
ZIP 89129
Phone: (323) 338-6101
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STEADFAST BEHAVIORAL CLINIC LLC is a psychiatric/mental health nurse practitioner in Las Vegas, NV. STEADFAST BEHAVIORAL CLINIC LLC NPI is 1447866801. The provider is registered as an organization entity type.

The provider's business location address is:

8612 COPPER KNOLL AVE
LAS VEGAS, NV
ZIP 89129-649
Phone: (323) 338-6101

The provider's authorized official is Ma Victoria Escarda .
The authorized official title is Managing Member and has the following contact phone number (323) 338-6101.

The enumeration date for this NPI number is 9/21/2020 and was last updated on 9/21/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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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