Provider Demographics
NPI:1639945454
Name:P&P MENTAL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:P&P MENTAL HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRINCE
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:IGBOAMAZU
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC-I
Authorized Official - Phone:702-219-5283
Mailing Address - Street 1:2112 INTERBAY ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-6502
Mailing Address - Country:US
Mailing Address - Phone:702-219-5283
Mailing Address - Fax:
Practice Address - Street 1:6034 SMOKE RANCH RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-3700
Practice Address - Country:US
Practice Address - Phone:702-352-3193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty