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PHOENIX BEHAVIORAL GROUP LLC NPI 1104455476


NPI Information

NPI: 1104455476
Provider Name: PHOENIX BEHAVIORAL GROUP LLC

Doing Business As: PHOENIX BEHAVIORAL GROUP LLC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
830 E SAHARA AVE
LAS VEGAS, NV
ZIP 89104
Phone: (702) 334-4515
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PHOENIX BEHAVIORAL GROUP LLC is a community behavioral health in Las Vegas, NV. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PHOENIX BEHAVIORAL GROUP LLC NPI is 1104455476. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenix Behavioral Group Llc.

The provider's business location address is:

830 E SAHARA AVE
LAS VEGAS, NV
ZIP 89104-009
Phone: (702) 334-4515
Fax: (702) 441-1966

The provider's authorized official is Yesica Y Sanchez .
The authorized official title is Manager and has the following contact phone number (702) 334-4515.

The enumeration date for this NPI number is 4/7/2020 and was last updated on 2/25/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

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

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