Organization
LAS VEGAS MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE L MIERA (OWNER)
(702) 483-8333
Entity
Organization
Contact information
Practice address
4935 E CHARLESTON BLVD, LAS VEGAS, NV 89104-6402
(702) 483-8333
Mailing address
4935 E CHARLESTON BLVD, LAS VEGAS, NV 89104-6402
(702) 483-8333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/21/2022
Last updated
03/07/2023
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