Provider Demographics
NPI:1407158942
Name:UNLIMITED POSSIBILITIES
Entity Type:Organization
Organization Name:UNLIMITED POSSIBILITIES
Other - Org Name:UNLIMITED POSSIBILITIES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRENDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-467-1377
Mailing Address - Street 1:PO BOX 370724
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89137
Mailing Address - Country:US
Mailing Address - Phone:702-467-1377
Mailing Address - Fax:702-586-0665
Practice Address - Street 1:6771 WEST CHARLESTON BLVD.
Practice Address - Street 2:SUITE C
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146
Practice Address - Country:US
Practice Address - Phone:702-467-1377
Practice Address - Fax:702-823-4781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV 20101552416251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health