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Organization
LAZOS BEHAVIORAL HEALTH CENTER
Active
Organization
LAZOS BEHAVIORAL HEALTH CENTER
Active
Other names
Lazos Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FERNANDA MITCHELL (DIRECTOR)
(702) 580-1850
Entity
Organization
Contact information
Practice address
730 N EASTERN AVE STE 120, LAS VEGAS, NV 89101-2885
(702) 580-1850
Mailing address
4913 SPARKLING SKY AVE, LAS VEGAS, NV 89130-7256
(702) 580-1850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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