Organization
LAZOS BEHAVIORAL HEALTH CENTER
Active
Other names
Lazos Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FERNANDA MITCHELL (DIRECTOR)
(702) 580-1850
Entity
Organization
Contact information
Practice address
730 N EASTERN AVE STE 120, LAS VEGAS, NV 89101-2885
(702) 580-1850
Mailing address
4913 SPARKLING SKY AVE, LAS VEGAS, NV 89130-7256
(702) 580-1850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306127311
—
NV
Enumeration date
03/01/2022
Last updated
03/01/2022
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