# LAZOS BEHAVIORAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lazos Behavioral Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245986033
- **Authorized official:** MARIA FERNANDA MITCHELL (DIRECTOR)
- **Authorized official phone:** (702) 580-1850

## Contact information

- **Practice address:** 730 N EASTERN AVE STE 120, LAS VEGAS, NV 89101-2885
- **Practice address phone:** (702) 580-1850
- **Mailing address:** 4913 SPARKLING SKY AVE, LAS VEGAS, NV 89130-7256
- **Mailing address phone:** (702) 580-1850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |

## Other

- **Enumeration date:** 03/01/2022
- **Last updated:** 03/01/2022