STEPHAN MELANCON NPI 1740497106

NPI Information

  • NPI: 1740497106
  • Provider Name: STEPHAN MELANCON
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Individual
  • Address: 4000 E CHARLESTON BLVD
    SUITE B-230
    LAS VEGAS, NV
    ZIP 89104
  • Phone: (702) 968-5000

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NPI Details

Stephan Melancon is a community based residential treatment facility mental illness in Las Vegas, NV. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. Stephan Melancon NPI is 1740497106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4000 E CHARLESTON BLVD
SUITE B-230
LAS VEGAS, NV
ZIP 89104-659
Phone: (702) 968-5000
Fax: (702) 968-5050

The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/8/2007.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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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