# BMSC HMO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396545067
- **Authorized official:** MS. MELANIE DONOHUE LCSW (OWNER)
- **Authorized official phone:** (702) 403-0438

## Contact information

- **Practice address:** 4575 DEAN MARTIN DR UNIT 1200, LAS VEGAS, NV 89103-8205
- **Practice address phone:** (702) 403-0438
- **Practice address fax:** (954) 324-8354
- **Mailing address:** 4575 DEAN MARTIN DR UNIT 1200, LAS VEGAS, NV 89103-8205
- **Mailing address phone:** (702) 403-0438
- **Mailing address fax:** (954) 324-8354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 03/13/2025
- **Last updated:** 03/13/2025