Provider Demographics
NPI:1346872389
Name:CONFIDENCE BEHAVIORAL HEALTH LLC.
Entity Type:Organization
Organization Name:CONFIDENCE BEHAVIORAL HEALTH LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSALINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLEGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-419-9578
Mailing Address - Street 1:1516 E TROPICANA AVE STE 185
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-8322
Mailing Address - Country:US
Mailing Address - Phone:702-891-0331
Mailing Address - Fax:
Practice Address - Street 1:1516 E TROPICANA AVE STE 185
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-8322
Practice Address - Country:US
Practice Address - Phone:702-891-0331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)