GENESIS BEHAVIORAL LLC NPI 1760060164

NPI Information

  • NPI: 1760060164
  • Provider Name: GENESIS BEHAVIORAL LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 5604 HARMONY AVE
    LAS VEGAS, NV
    ZIP 89107
  • Phone: (702) 981-4012

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NPI Details

GENESIS BEHAVIORAL LLC is a mental health (including community mental health center) clinic center in Las Vegas, NV. GENESIS BEHAVIORAL LLC NPI is 1760060164. The provider is registered as an organization entity type.

The provider's business location address is:

5604 HARMONY AVE
LAS VEGAS, NV
ZIP 89107-625
Phone: (702) 981-4012

The provider's authorized official is Yusleisy Collazo .
The authorized official title is Managing Member and has the following contact phone number (702) 981-4012.

The enumeration date for this NPI number is 3/30/2021 and was last updated on 3/30/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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