# ANGEL HEART BEHAVIOR HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANGEL HEART BEHAVIOR HEALTH LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538688817
- **Legal business name:** ANGEL HEART BEHAVIOR HEALTH LLC
- **Authorized official:** MS. LATASHA CONWAY-HANKSTON (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (702) 846-2686

## Contact information

- **Practice address:** 2551 S FORT APACHE RD STE 101, LAS VEGAS, NV 89117-8700
- **Practice address phone:** (702) 846-2686
- **Mailing address:** 2551 S FORT APACHE RD STE 101, LAS VEGAS, NV 89117-8700
- **Mailing address phone:** (702) 846-2686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 03/12/2018