Provider Demographics
NPI:1639537269
Name:SKILLS 4 KIDS LLC
Entity type:Organization
Organization Name:SKILLS 4 KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:702-232-9533
Mailing Address - Street 1:9101 W SAHARA AVE
Mailing Address - Street 2:SUITE 105-A5
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5772
Mailing Address - Country:US
Mailing Address - Phone:702-232-9533
Mailing Address - Fax:702-538-9977
Practice Address - Street 1:7456 W SAHARA AVE
Practice Address - Street 2:SUITE 102-A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2792
Practice Address - Country:US
Practice Address - Phone:702-232-9533
Practice Address - Fax:702-538-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20081588006251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health