Organization
58 10 BEHAVIORAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN KENON LCSW (OWNER)
(702) 286-5386
Entity
Organization
Contact information
Practice address
1810 E SAHARA AVE STE 212 373, LAS VEGAS, NV 89104-3707
(702) 286-5386
(702) 566-4575
Mailing address
1810 E SAHARA AVE STE 212 373, LAS VEGAS, NV 89104-3707
(702) 286-5386
(702) 566-4575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275913030
NPI
NV
Enumeration date
02/19/2020
Last updated
02/19/2020
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