Provider Demographics
NPI:1942449806
Name:RICHARD H PRATT PHD LTD
Entity Type:Organization
Organization Name:RICHARD H PRATT PHD LTD
Other - Org Name:PRATT BEHAVIORAL WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-251-0044
Mailing Address - Street 1:284-C E LAKE MEAD PKWY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-6433
Mailing Address - Country:US
Mailing Address - Phone:702-251-0044
Mailing Address - Fax:702-566-3301
Practice Address - Street 1:701 N GREEN VALLEY PKWY # 293
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-6177
Practice Address - Country:US
Practice Address - Phone:702-251-0044
Practice Address - Fax:702-566-3301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-16
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty