Organization
INTEGRATED LIFE MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONEY WENDELL STEPHENSON PSYD MAMFT (PRESIDENT)
(702) 204-0150
Entity
Organization
Contact information
Practice address
3660 N RANCHO DR STE 113, LAS VEGAS, NV 89130-3188
(702) 570-5990
(702) 570-5994
Mailing address
3660 N RANCHO DR STE 113, LAS VEGAS, NV 89130-3188
(702) 570-5990
(702) 570-5994
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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