Provider Demographics
NPI:1669819298
Name:SEXTON, MERLYN ARTHUR (MED LADC)
Entity Type:Individual
Prefix:
First Name:MERLYN
Middle Name:ARTHUR
Last Name:SEXTON
Suffix:
Gender:M
Credentials:MED LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 W BONANZA RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4718
Mailing Address - Country:US
Mailing Address - Phone:702-647-5842
Mailing Address - Fax:702-647-2647
Practice Address - Street 1:2300 W BONANZA RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4718
Practice Address - Country:US
Practice Address - Phone:702-647-5842
Practice Address - Fax:702-647-2647
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1190101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)