Organization
EQUITY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRON MALLARD MSW, LCPC (OWNER)
(323) 359-7804
Entity
Organization
Contact information
Practice address
2001 S JONES BLVD STE J, LAS VEGAS, NV 89146-3165
(702) 712-0291
Mailing address
7099 N HUALAPAI WAY APT 1116, LAS VEGAS, NV 89166-1107
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/04/2019
Last updated
04/10/2020
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