Provider Demographics
NPI:1013352517
Name:UNITY BEHAVIORAL HEALTH & FAMILY SERVICES
Entity Type:Organization
Organization Name:UNITY BEHAVIORAL HEALTH & FAMILY SERVICES
Other - Org Name:UNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DELLISA
Authorized Official - Middle Name:GLORIES
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-606-8535
Mailing Address - Street 1:5249 DAWN BREAK CANYON ST
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-6627
Mailing Address - Country:US
Mailing Address - Phone:702-606-8535
Mailing Address - Fax:702-657-9892
Practice Address - Street 1:5249 DAWN BREAK CANYON ST
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-6627
Practice Address - Country:US
Practice Address - Phone:702-606-8535
Practice Address - Fax:702-657-9892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV14Medicaid