Organization
VEGAS INNOVATIVE PSYCHIATRY
Active
Parent organization
VEGAS INNOVATIVE PSYCHIATRY
Other names
Vegas Innovative Psychiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
VEGAS INNOVATIVE PSYCHIATRY
Authorized official
ANSHON SEARS (PRACTICE ADMINISTRATOR)
(702) 202-0099
Entity
Organization
Contact information
Practice address
2021 S JONES BLVD, LAS VEGAS, NV 89146-3137
(702) 202-0099
Mailing address
2021 S JONES BLVD, LAS VEGAS, NV 89146-3137
(702) 202-0099
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E6055912020-0
—
NV
Enumeration date
07/19/2021
Last updated
07/19/2021
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