PARADISE BEHAVIORAL HEALTH CENTER LLC NPI 1023638418

NPI Information

NPI: 1023638418
Provider Name: PARADISE BEHAVIORAL HEALTH CENTER LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4912 CINNAMON SPICE CT
N LAS VEGAS, NV
ZIP 89031
Phone: (702) 690-0785
Get Directions

PARADISE BEHAVIORAL HEALTH CENTER LLC is a mental health (including community mental health center) clinic center in N Las Vegas, NV. PARADISE BEHAVIORAL HEALTH CENTER LLC NPI is 1023638418. The provider is registered as an organization entity type.

The provider's business location address is:

4912 CINNAMON SPICE CT
N LAS VEGAS, NV
ZIP 89031-587
Phone: (702) 690-0785

The provider's authorized official is Laquaisha Dantrice Hyder .
The authorized official title is Ceo and has the following contact phone number (702) 690-0785.

The enumeration date for this NPI number is 4/26/2020 and was last updated on 12/4/2020.

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)			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	1912205394	MEDICAID	NEVADA

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: 4/28/2024

NPI Synchronization or Removal

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