Provider Demographics
NPI:1649890344
Name:THE MOVE PROJECT INC
Entity type:Organization
Organization Name:THE MOVE PROJECT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKS-MADDOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-762-5433
Mailing Address - Street 1:431 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-6915
Mailing Address - Country:US
Mailing Address - Phone:702-762-5433
Mailing Address - Fax:
Practice Address - Street 1:431 S 6TH ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-6915
Practice Address - Country:US
Practice Address - Phone:702-762-5433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV172047755Medicaid
NV1710360656Medicaid
NV1790061240Medicaid
NV1497163315Medicaid