ILIAD AND ODYSSEY BEHAVIORAL HEALTH LLC
Nurse Practitioner (Psych/Mental Health)

Address: 6330 W Flamingo Rd, Las Vegas, NV 89103-2201

ILIAD AND ODYSSEY BEHAVIORAL HEALTH LLC (NPI# 1124609524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124609524
Entity Type Organization
Organization Name ILIAD AND ODYSSEY BEHAVIORAL HEALTH LLC
Practice Address 6330 W Flamingo Rd
Las Vegas
NV 89103-2201
Practice Telephone 7022620110
Mailing Address Po Box 400546
C/O Homer Tuazon
Las Vegas
NV 89140
Certification Date 2021-04-16
Enumeration Date 2021-04-16
Last Update Date 2021-04-16
Authorized Official Telephone 7024173865
Authorized Official Credential APRN, FNPC, MHNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
193400000X SINGLE SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
ILIAD AND ODYSSEY BEHAVIORAL HEALTH Doing Business As Name

Office Location

Street Address 6330 W FLAMINGO RD
City LAS VEGAS
State NV
Zip Code 89103-2201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457517104 Southwest Medical Associates Health Maintenance Organization 6330 W Flamingo Rd, Las Vegas, NV 89103-2201 2008-08-01

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1043821671 New Directions LLC Counselor - Addiction (Substance Use Disorder) 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 2020-08-17
1396356929 A-Plus Community Counseling Services LLC Counselor - Professional 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 2020-08-17
1437798931 Las Vegas Diagnostic & Treatment LLC Neuromusculoskeletal Medicine & OMM Dpm, 5650 W Flamingo Rd Ste A, Las Vegas, NV 89103 2019-12-31
1033769385 Maria Yemi Centeno · Maria Yemi Centeno Technician - Personal Care Attendant 4674 Via Torino, Las Vegas, NV 89103 2019-09-18
1447741905 Adgold Medical Corp Durable Medical Equipment & Medical Supplies 3651 Lindell Rd Ste D536, Las Vegas, NV 89103 2018-05-21
1184138620 Kiley Ballew Social Worker 4425 South Jones, Suite D3, Las Vegas, NV 89103 2017-11-20
1902234156 Nadine Elaine Wright Social Worker 4425 South Jones Blvd, Suite D3, Las Vega, NV 89103 2013-10-25
1285149856 Miguel Sierra Garcia Behavioral Analyst 5930 W Saddle Ave, Las Vegas, NV 89103-0117 2017-12-05
1740776871 Ross Senior Residence · Group Care Homes Nursing Care 5935 W Saddle Ave, Las Vegas, NV 89103-0118 2018-07-01
1366941635 Helen Chan Technician - Personal Care Attendant 3964 Roohani Ct, Las Vegas, NV 89103-0127 2018-02-01
Find all providers in zip 89103

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255911418 Shautauqua Blocker Nurse Practitioner - Psych/Mental Health 3700 S Maryland Pkwy # 525d, Las Vegas, NV 89119-5615 2021-04-12
1245823863 Reimund Serafica Nurse Practitioner - Psych/Mental Health 3000 W Charleston Blvd Ste 5, Las Vegas, NV 89102-1940 2021-02-15
1366033342 Mary Grace Almirante Del Rosario Nurse Practitioner - Psych/Mental Health 5973 Atlantis Dream Ave, Las Vegas, NV 89139-6978 2021-02-01
1992396998 Susan Candelaria Nurse Practitioner - Psych/Mental Health 911 N Buffalo Dr # 206213, Las Vegas, NV 89128-0379 2021-02-01
1821687427 Brian Elliot Meyer Nurse Practitioner - Psych/Mental Health 9110 W Tropicana Ave Unit 162, Las Vegas, NV 89147-8152 2021-01-18
1740883958 Mile High Psychiatry LLC Nurse Practitioner - Psych/Mental Health 848 N Rainbow Blvd # 228, Las Vegas, NV 89107-1103 2020-11-19
1093315236 Steven Jon Knott Nurse Practitioner - Psych/Mental Health 2675 S Jones Blvd Ste 102, Las Vegas, NV 89146-5607 2020-10-27
1730792219 Mercedes Ocan Nurse Practitioner - Psych/Mental Health 4000 S Eastern Ave Ste 125, Las Vegas, NV 89119-0814 2020-08-25
1205447406 Shaheen Waqar Ahmad Nurse Practitioner - Psych/Mental Health 4270 S Decatur Blvd, Las Vegas, NV 89103-6800 2020-08-11
1801404074 Ibukun Odutola Nurse Practitioner - Psych/Mental Health 2605 E Flamingo Rd, Las Vegas, NV 89121-5241 2020-07-14
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City LAS VEGAS
Zip Code 89103

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Dataset Information

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.

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