Organization
RASHEDA L ANDERSON LLC
Active
Other names
Rasheda L Anderson
Organization subpart
No
Provider details
NPI number
Authorized official
RASHEDA L ANDERSON (CEO)
(404) 437-0596
Entity
Organization
Contact information
Practice address
16 DELIGHTED AVE, NORTH LAS VEGAS, NV 89031-1393
(404) 437-0596
Mailing address
16 DELIGHTED AVE, NORTH LAS VEGAS, NV 89031-1393
(404) 437-0596
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699157727
—
GA
Enumeration date
09/12/2018
Last updated
09/12/2018
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