Provider Demographics
NPI:1720703218
Name:NEVADA BEHAVIORAL COUNSELING
Entity Type:Organization
Organization Name:NEVADA BEHAVIORAL COUNSELING
Other - Org Name:NEVADA BEHAVIORAL COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:702-710-5729
Mailing Address - Street 1:7341 W CHARLESTON BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1573
Mailing Address - Country:US
Mailing Address - Phone:702-710-5729
Mailing Address - Fax:
Practice Address - Street 1:7341 W CHARLESTON BLVD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1573
Practice Address - Country:US
Practice Address - Phone:702-710-5729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-06
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty