Provider Demographics
NPI:1851755169
Name:WEST BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:WEST BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MADISON
Authorized Official - Middle Name:
Authorized Official - Last Name:GULLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-767-8269
Mailing Address - Street 1:3097 E WARM SPRINGS RD
Mailing Address - Street 2:STE 400
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3756
Mailing Address - Country:US
Mailing Address - Phone:702-850-8700
Mailing Address - Fax:702-850-8707
Practice Address - Street 1:3097 E WARM SPRINGS RD
Practice Address - Street 2:STE 400
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3756
Practice Address - Country:US
Practice Address - Phone:702-850-8700
Practice Address - Fax:702-850-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health