Organization
NEVADA INTEGRATED BEHAVIORAL SERVICES INC.
Active
Parent organization
NEVADA INTEGRATED BEHAVIORAL SERVICES INC.
Other names
NEVADA CARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEVADA INTEGRATED BEHAVIORAL SERVICES INC.
Authorized official
FESTUS EBONKA (OWNER/PRESIDENT)
(702) 515-9680
Entity
Organization
Contact information
Practice address
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1902
(702) 515-9680
Mailing address
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1902
(702) 515-9680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NV20131553514
NV
101YM0800X
Mental Health Counselor
NV20131553514
NV
101YP2500X
Professional Counselor
NV20131553514
NV
103TC1900X
Counseling Psychologist
NV20131553514
NV
104100000X
Social Worker
Primary
NV20131553514
NV
163W00000X
Registered Nurse
NV20131553514
NV
171M00000X
Case Manager/Care Coordinator
NV20131553514
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NV20131553514
NV
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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