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Organization

FOCUSLINK BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAQUENTA KIRBY (PRESIDENT)
(702) 682-3586
Entity
Organization

Contact information

Practice address
2200 E CALVADA BLVD STE A, PAHRUMP, NV 89048-5833
(775) 419-6350
(775) 582-1322
Mailing address
2200 E CALVADA BLVD STE A, PAHRUMP, NV 89048-5833
(775) 419-6350

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist
103TP2701X
Group Psychotherapy Psychologist
103TR0400X
Rehabilitation Psychologist
1041C0700X
Clinical Social Worker
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/09/2013
Last updated
04/25/2018
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