Provider Demographics
NPI:1790406239
Name:TRISIS FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:TRISIS FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-271-4291
Mailing Address - Street 1:5401 RUSTY ANCHOR CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-1547
Mailing Address - Country:US
Mailing Address - Phone:702-271-4291
Mailing Address - Fax:
Practice Address - Street 1:5401 RUSTY ANCHOR CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-1547
Practice Address - Country:US
Practice Address - Phone:702-271-4291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRISIS BEHAVIORAL HEALTH SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Single Specialty