Provider Demographics
NPI:1205410008
Name:LINDA HAWLEY, L.L.C.
Entity Type:Organization
Organization Name:LINDA HAWLEY, L.L.C.
Other - Org Name:DBA ACCESS PSYCHIATRIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLER/CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:S
Authorized Official - Last Name:SEGURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-513-0619
Mailing Address - Street 1:305 N PECOS RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-1351
Mailing Address - Country:US
Mailing Address - Phone:702-463-1665
Mailing Address - Fax:702-463-3261
Practice Address - Street 1:305 N PECOS RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-1351
Practice Address - Country:US
Practice Address - Phone:702-463-1665
Practice Address - Fax:702-463-3261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty