Organization
BISON HEALTH LLC
Active
Other names
Bison Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE BISON PHD (MANAGING MEMBER)
(725) 222-9502
Entity
Organization
Contact information
Practice address
11201 N TATUM BLVD STE 360-42, PHOENIX, AZ 85028-6036
(725) 222-9502
(725) 209-0381
Mailing address
4132 S RAINBOW BLVD # 149, LAS VEGAS, NV 89103-3106
(725) 222-9502
(725) 209-0381
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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