Provider Demographics
NPI:1033578562
Name:BEHAVIORAL HEALTH SERVICES OF SOUTHERN NEVADA LLC
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH SERVICES OF SOUTHERN NEVADA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DARRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LIGHTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-460-9266
Mailing Address - Street 1:1771 E FLAMINGO RD
Mailing Address - Street 2:SUITE #112B
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5155
Mailing Address - Country:US
Mailing Address - Phone:702-732-4357
Mailing Address - Fax:702-732-4358
Practice Address - Street 1:1771 E FLAMINGO RD
Practice Address - Street 2:SUITE #112B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5155
Practice Address - Country:US
Practice Address - Phone:702-732-4357
Practice Address - Fax:702-732-4358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health