RASHEDA L ANDERSON LLC NPI 1235612573

NPI Information

  • NPI: 1235612573
  • Provider Name: RASHEDA L ANDERSON LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 16 DELIGHTED AVE
    NORTH LAS VEGAS, NV
    ZIP 89031
  • Phone: (404) 437-0596

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NPI Details

RASHEDA L ANDERSON LLC is a mental health (including community mental health center) clinic center in North Las Vegas, NV. RASHEDA L ANDERSON LLC NPI is 1235612573. The provider is registered as an organization entity type.

The provider's business location address is:

16 DELIGHTED AVE
NORTH LAS VEGAS, NV
ZIP 89031-393
Phone: (404) 437-0596

The provider's authorized official is Rasheda L Anderson .
The authorized official title is Ceo and has the following contact phone number (404) 437-0596.

The enumeration date for this NPI number is 9/12/2018 and was last updated on 9/12/2018.

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
1251S00000XCommunity/Behavioral HealthNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4261QM0801XClinic/CenterMental 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
11699157727MEDICAIDGEORGIA

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: 3/30/2025

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