Provider Type Icon

EBENEZER MEDICAL CENTER LLC NPI 1184381246


NPI Information

NPI: 1184381246
Provider Name: EBENEZER MEDICAL CENTER LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
2619 W CHARLESTON BLVD STE E
LAS VEGAS, NV
ZIP 89102
Phone: (702) 805-3059
Get Directions

EBENEZER MEDICAL CENTER LLC is a psychiatry psychiatry neurology in Las Vegas, NV. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. EBENEZER MEDICAL CENTER LLC NPI is 1184381246. The provider is registered as an organization entity type.

The provider's business location address is:

2619 W CHARLESTON BLVD STE E
LAS VEGAS, NV
ZIP 89102-121
Phone: (702) 805-3059

The provider's authorized official is Yarel Hernandez Leon .
The authorized official title is Managing Member and has the following contact phone number (702) 515-9926.

The enumeration date for this NPI number is 11/23/2021 and was last updated on 11/23/2021.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
22084P0800XPsychiatry & NeurologyPsychiatryYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.