EBONNY BEHAVIORAL CARE SERVICES CORPORATION NPI 1467801134

NPI Information

  • NPI: 1467801134
  • Provider Name: EBONNY BEHAVIORAL CARE SERVICES CORPORATION
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1721 E CHARLESTON BLVD STE 300
    LAS VEGAS, NV
    ZIP 89104
  • Phone: (026) 850-6207

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NPI Details

EBONNY BEHAVIORAL CARE SERVICES CORPORATION is a primary care clinic center in Las Vegas, NV. EBONNY BEHAVIORAL CARE SERVICES CORPORATION NPI is 1467801134. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1721 E CHARLESTON BLVD STE 300
LAS VEGAS, NV
ZIP 89104-902
Phone: (026) 850-6207
Fax: (702) 685-9674

The provider's authorized official is Festus Ebonka .
The authorized official title is President and has the following contact phone number (702) 515-9680.

The enumeration date for this NPI number is 6/3/2016 and was last updated on 4/24/2025.

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
1207Q00000XFamily MedicineNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QP2300XClinic/CenterPrimary CareYes
4363LF0000XNurse PractitionerFamilyNo
5363LP2300XNurse PractitionerPrimary CareNo

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: 11/21/2025

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