Provider Demographics
NPI:1659051506
Name:UNIVERSAL MENTAL HEALTH CENTER LLC
Entity Type:Organization
Organization Name:UNIVERSAL MENTAL HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLEGASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-857-8800
Mailing Address - Street 1:3321 N BUFFALO DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6678
Mailing Address - Country:US
Mailing Address - Phone:702-857-8800
Mailing Address - Fax:
Practice Address - Street 1:3035 S MARYLAND PKWY STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2205
Practice Address - Country:US
Practice Address - Phone:702-857-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health