Provider Demographics
NPI:1912333550
Name:TENAZCITY,PC
Entity Type:Organization
Organization Name:TENAZCITY,PC
Other - Org Name:TENAZCITY BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WESTFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-373-1265
Mailing Address - Street 1:259 CASCADING ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-8720
Mailing Address - Country:US
Mailing Address - Phone:702-487-5550
Mailing Address - Fax:702-446-8017
Practice Address - Street 1:3930 E PATRICK LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4924
Practice Address - Country:US
Practice Address - Phone:702-487-5550
Practice Address - Fax:702-446-8017
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TENAZCITY,PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-14
Last Update Date:2013-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY 0234103TB0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVPY 0234OtherPSYCHOLOGY LICENSE