Organization
LIBERTY BEHAVIORAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYESHA J WILSON (CEO)
(702) 768-3076
Entity
Organization
Contact information
Practice address
6447 SALMON MOUNTAIN AVE, LAS VEGAS, NV 89122-3565
(702) 768-3076
Mailing address
6447 SALMON MOUNTAIN AVE, LAS VEGAS, NV 89122-3565
(702) 768-3076
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2000920-320
NV
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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