NEVADA INTEGRATED BEHAVIORAL SERVICES INC. (NPI# 1104308147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104308147 |
| Entity Type | Organization |
| Organization Name | NEVADA INTEGRATED BEHAVIORAL SERVICES INC. |
| Other Organization Name | NEVADA TREATMENT CENTER |
| Practice Address |
1721 E Charleston Blvd Las Vegas NV 89104-1902 |
| Mailing Telephone | 7026850620 |
| Mailing Fax Number | 7026859674 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | FESTUS EBONKA (OWNER) |
| Authorized Official Telephone | 7025159680 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Nevada Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952852097 | Nevada Integrated Behavioral Services Inc. | Community/Behavioral Health | 1721 E Charleston Blvd, 1721, Las Vegas, NV 89104-1902 | 2016-10-24 |
| 1932575156 | Nevada Integrated Behavioral Services Inc. | Clinic/Center | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2015-08-12 |
| 1851782999 | Nevada Integrated Behavioral Services Inc. | Clinic/Center | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2015-02-11 |
| 1457742975 | Nevada Integrated Behavioral Services Inc. | Social Worker | 1721 E Charleston Blvd, Las Vegas, NV 89104 | 2015-02-06 |
| 1245621622 | Nevada Integrated Behavioral Services Inc. | Case Manager/Care Coordinator | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2015-02-06 |
| Street Address |
1721 E CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89104-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932241007 | Festus Ebonka | Nurse Practitioner | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2007-02-13 |
| 1699391011 | Bright Star Urgent Care | Clinic/Center | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2020-06-22 |
| 1801412218 | Matthew Okeke, M.d. Ltd | Nurse Practitioner | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2020-06-22 |
| 1699390427 | Matthew Okeke, M.d. Ltd | Clinic/Center | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2020-06-08 |
| 1053931576 | Vegas Innovative Psychiatry | Clinic/Center | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2020-04-24 |
| 1558981068 | Vegas Innovative Psychiatry | Psychologist | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2020-04-24 |
| 1851933873 | Ebony Relief Charitable Inc. | Community/Behavioral Health | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2019-10-10 |
| 1083158489 | Melisa Stephens | Community Health Worker | 1721 E Charleston Blvd, Las Vegas, NV 89104-1902 | 2016-12-05 |
| 1952852097 | Nevada Integrated Behavioral Services Inc. | Community/Behavioral Health | 1721 E Charleston Blvd, 1721, Las Vegas, NV 89104-1902 | 2016-10-24 |
| 1699225599 | Ebonny Ventures Inc | Clinic/Center | 1721 E Charleston Blvd, 1721, Las Vegas, NV 89104-1902 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550635 | Comfort Care Senior Services LLC | In Home Supportive Care | 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 | 2020-08-26 |
| 1508484734 | Accessible Space Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1405 South Mojave Rd, Las Vegas, NV 89104 | 2020-07-14 |
| 1003448333 | Shirley Lauren Valenzona-gianan | Pharmacist | Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 | 2020-02-05 |
| 1427602713 | Alma Lucia Lozano-vargas | Chore Provider | 1785 E. Sahara Ave. Suite 485, Las Vegas, NV 89104 | 2019-07-25 |
| 1396398947 | Martinez Antuan Coates | Psychologist | 1755 Palm St Bld T Apt147, Las Vegas, NV 89104 | 2019-07-23 |
| 1982171518 | Ian Sande | Occupational Therapist | 1500 West Warm Springs Rd, Las Vegas, NV 89104 | 2018-11-01 |
| 1215436563 | A Better Life In Home Care, LLC | Technician | 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 | 2018-02-01 |
| 1891202016 | Nevada Helping Hands LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 | 2018-01-09 |
| 1760901581 | Fannie Bell | Counselor | 1800 E. Sahara Suite 104, Las Vegas, NV 89104 | 2017-09-13 |
| 1386162147 | Jaclyn Mustachio | Social Worker | 1860 E Sahara Ave, Las Vegas, NV 89104 | 2017-08-31 |
| Find all providers in zip 89104 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467099739 | Purpose Driven Recovery LLC | Clinic/Center | 2785 E Desert Inn Rd Ste 270, Las Vegas, NV 89121-3693 | 2019-12-05 |
| 1831756014 | Sanel Halilovic | Clinic/Center | 4701 Hansel Cir, Las Vegas, NV 89102-5796 | 2019-05-23 |
| 1861971210 | Las Vegas Addiction Treatment Center | Clinic/Center | 7391 W Charleston Blvd Ste 150, Las Vegas, NV 89117-1577 | 2018-08-07 |
| 1689170862 | Cycles of Change Recovery Services, LLC | Clinic/Center | 6069 S Fort Apache Rd Ste 130, Las Vegas, NV 89148-5579 | 2018-04-05 |
| 1417464397 | Therapy Today Recovery Center | Clinic/Center | 1230 W Owens Ave Ste 1, Las Vegas, NV 89106-2451 | 2018-01-02 |
| 1255880191 | Sierra Treatment and Recovery Services, LLC | Clinic/Center | 3321 N. Buffalo Dr., Suite #125, Las Vegas, NV 89129 | 2016-10-03 |
| 1376997627 | Horizon Ridge Clinic LLC | Clinic/Center | 3160 W Sahara Ave Ste A11, Las Vegas, NV 89102-3215 | 2016-04-22 |
| 1164811121 | Aac Las Vegas Outpatient Center, LLC | Clinic/Center | 3441 S Eastern Ave, Las Vegas, NV 89169-3314 | 2015-01-14 |
| 1184061061 | Vitality Unlimited | Clinic/Center | 1550 Western Ave, Las Vegas, NV 89102-2614 | 2013-05-31 |
| 1649402520 | Center for Addiction Medicine LLC | Clinic/Center | 4445 S Jones Blvd Ste 3, Las Vegas, NV 89103-3373 | 2009-08-11 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.