GERONA PORCEL LLC NPI 1780151415

NPI Information

GERONA PORCEL LLC is a mental health (including community mental health center) clinic center in Las Vegas, NV. GERONA PORCEL LLC NPI is 1780151415. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Light Behavioral Health Center.

The provider's business location address is:

2110 E FLAMINGO RD STE 205
LAS VEGAS, NV
ZIP 89119-192
Phone: (702) 620-5105

The provider's authorized official is Deborah Bernal Perez .
The authorized official title is Managing Member and has the following contact phone number (702) 272-8619.

The enumeration date for this NPI number is 10/31/2018 and was last updated on 9/20/2019.

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:

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.