58 10 Behavioral Health Services Pllc

LBN: 58 10 Behavioral Health Services Pllc
58 10 Behavioral Health Services Pllc is an health care organization with primary practice located at 1810 E Sahara Ave Ste 212 373 , Las Vegas NV 89104-3707. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. 58 10 Behavioral Health Services Pllc can be contacted via phone (702) 286-5386, or through Kenon, Alvin via phone (702) 286-5386.

Contact Information

Primary practice address
1810 E Sahara Ave Ste 212 373 Las Vegas NV 89104-3707
Phone: (702) 286-5386
Fax: (702) 566-4575
Website:
Map and Directions
Authorized official contact:
Name: Kenon, Alvin Licensed Clinical Social Worker (LCSW)
Phone: (702) 286-5386

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1780217679
LBN Legal business name 58 10 Behavioral Health Services Pllc
DBA Doing business as
Authorized official Kenon, Alvin Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2020
Last updated Feb 19th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780217679 NPPES
Nevada Other 1275913030 NPI

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