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Organization
CSSI BEHAVIORAL HEALTH SERVICES LLC
Active
Organization
CSSI BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS TELLIS (PRESIDENT)
(702) 639-4405
Entity
Organization
Contact information
Practice address
3620 N RANCHO DR STE 111, LAS VEGAS, NV 89130-3154
(702) 639-4405
Mailing address
3620 N RANCHO DR STE 111, LAS VEGAS, NV 89130-3154
(702) 639-4405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/13/2011
Last updated
08/29/2016
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