Provider Demographics
NPI:1801669411
Name:LINARES BEHAVIORAL HEALTH PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:LINARES BEHAVIORAL HEALTH PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:YESENIA
Authorized Official - Last Name:LINARES
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:760-642-9868
Mailing Address - Street 1:7318 W POST RD STE 211
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-6646
Mailing Address - Country:US
Mailing Address - Phone:760-642-9868
Mailing Address - Fax:877-389-6168
Practice Address - Street 1:7318 W POST RD STE 211
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-6646
Practice Address - Country:US
Practice Address - Phone:760-642-9868
Practice Address - Fax:877-389-6168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty