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NLVBH & PRIMARY CARE CENTER NPI 1558037002


NPI Information

NPI: 1558037002
Provider Name: NLVBH & PRIMARY CARE CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3277 W CRAIG RD STE 100-130
NORTH LAS VEGAS, NV
ZIP 89032
Phone: (702) 469-7897
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NLVBH & PRIMARY CARE CENTER is a mental health counselor in North Las Vegas, NV. NLVBH & PRIMARY CARE CENTER NPI is 1558037002. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3277 W CRAIG RD STE 100-130
NORTH LAS VEGAS, NV
ZIP 89032-792
Phone: (702) 469-7897

The provider's authorized official is Kirk Wan .
The authorized official title is Ceo and has the following contact phone number (702) 469-7897.

The enumeration date for this NPI number is 8/16/2021 and was last updated on 8/16/2021.


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
1101YM0800XCounselorMental HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12475MEDICAIDNEVADA

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.