Organization
PEAVINE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ULLA YANDELL LCSW (MANAGING MEMBER)
(775) 560-9623
Entity
Organization
Contact information
Practice address
480 W BONANZA RD, LAS VEGAS, NV 89106-3227
(775) 560-9623
(866) 348-2644
Mailing address
7117 LAKELAND RD, LAS VEGAS, NV 89145-6027
(775) 560-9623
(866) 348-2644
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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