Provider Demographics
NPI:1942491592
Name:FLAGG LLC D/B/A REALITY RECOVERY
Entity Type:Organization
Organization Name:FLAGG LLC D/B/A REALITY RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO - PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:FLAGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-434-4029
Mailing Address - Street 1:3520 E TROPICANA AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-7342
Mailing Address - Country:US
Mailing Address - Phone:702-434-4029
Mailing Address - Fax:702-434-4033
Practice Address - Street 1:3520 E TROPICANA AVE
Practice Address - Street 2:SUITE E
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-7342
Practice Address - Country:US
Practice Address - Phone:702-434-4029
Practice Address - Fax:702-434-4033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV308L101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty