Provider Demographics
NPI:1770006447
Name:HEALTHY HUGS BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:HEALTHY HUGS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LASHAWNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-600-0754
Mailing Address - Street 1:6500 VEGAS DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-7707
Mailing Address - Country:US
Mailing Address - Phone:949-600-0754
Mailing Address - Fax:
Practice Address - Street 1:6500 VEGAS DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-7707
Practice Address - Country:US
Practice Address - Phone:949-600-0754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness