Organization
BISON HEALTH LLC
Active
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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