Organization
BAMBOO SUNRISE LLC
Active
Organization
BAMBOO SUNRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY LIM HOLDEMAN (CHIEF EXECUTIVE OFFICER)
(702) 433-3038
Entity
Organization
Contact information
Practice address
98 E LAKE MEAD PKWY STE 201, HENDERSON, NV 89015-6443
(702) 433-3038
Mailing address
98 E LAKE MEAD PKWY STE 201, HENDERSON, NV 89015-6443
(702) 433-3038
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/18/2011
Last updated
09/10/2021
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