# MAXIMUMTS

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

## Provider details

- **NPI number:** 1821665415
- **Authorized official:** CHANDA HAZELWOOD QMHA (MGR)
- **Authorized official phone:** (702) 378-4824

## Contact information

- **Practice address:** 840 S RANCHO DR \# 4-312, LAS VEGAS, NV 89106-3837
- **Practice address phone:** (702) 468-3656
- **Mailing address:** 840 S RANCHO DR \# 4-312, LAS VEGAS, NV 89106-3837
- **Mailing address phone:** (702) 468-3656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/10/2021
- **Last updated:** 06/10/2021