Provider Demographics
NPI:1477225019
Name:NEVADA COUNSELING & BEHAVIORAL CENTER, LLP
Entity Type:Organization
Organization Name:NEVADA COUNSELING & BEHAVIORAL CENTER, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:TRACY
Authorized Official - Last Name:EVANS-BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:702-683-0045
Mailing Address - Street 1:3651 LINDELL RD STE D
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-1200
Mailing Address - Country:US
Mailing Address - Phone:702-683-0045
Mailing Address - Fax:
Practice Address - Street 1:4630 KRISTEN LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5442
Practice Address - Country:US
Practice Address - Phone:702-683-0045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEVADA COUNSELING & BEHAVIORAL CENTER, LLP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)