Provider Demographics
NPI:1417269291
Name:HELPING HANDS BEHAVIORAL TREATMENT SERVICES LLC
Entity Type:Organization
Organization Name:HELPING HANDS BEHAVIORAL TREATMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHANDA
Authorized Official - Middle Name:LINETTE
Authorized Official - Last Name:HAZELWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-451-0484
Mailing Address - Street 1:343 ABBINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-4931
Mailing Address - Country:US
Mailing Address - Phone:702-451-0484
Mailing Address - Fax:702-368-0484
Practice Address - Street 1:343 ABBINGTON ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-4931
Practice Address - Country:US
Practice Address - Phone:702-451-0484
Practice Address - Fax:702-368-0484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9005054570Medicaid