Provider Demographics
NPI:1811677214
Name:VEGAS STRONGER BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:VEGAS STRONGER BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SKILLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-334-4699
Mailing Address - Street 1:840 S RANCHO DR STE 4323
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3837
Mailing Address - Country:US
Mailing Address - Phone:702-202-6647
Mailing Address - Fax:702-992-3479
Practice Address - Street 1:737 N MAIN ST # 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-1918
Practice Address - Country:US
Practice Address - Phone:702-202-6647
Practice Address - Fax:702-992-3479
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VEGAS STRONGER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health