Provider Demographics
NPI:1932343977
Name:R & R RESIDENTIAL SERVICES LLC
Entity Type:Organization
Organization Name:R & R RESIDENTIAL SERVICES LLC
Other - Org Name:CREATIVE LIFE BEHAVIORAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:KULINDA
Authorized Official - Middle Name:DANNIELLE
Authorized Official - Last Name:ROLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-636-9357
Mailing Address - Street 1:5175 CAMINO AL NORTE
Mailing Address - Street 2:STE. 100
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-2407
Mailing Address - Country:US
Mailing Address - Phone:702-636-9357
Mailing Address - Fax:702-868-8357
Practice Address - Street 1:5175 CAMINO AL NORTE
Practice Address - Street 2:STE. 100
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-2407
Practice Address - Country:US
Practice Address - Phone:702-636-9357
Practice Address - Fax:702-868-8357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0622106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty