SOUTHERN NEVADA BEHAVIORAL HEALTH AUTHORITY LLC
NPI 1104221795
Community/Behavioral Health in Las Vegas, NV

Active since October 27, 2014
1125 CORAL ISLE WAY, LAS VEGAS, NV 89108(702) 419-1262 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southern Nevada Behavioral Health Authority Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN NEVADA BEHAVIORAL HEALTH AUTHORITY LLC (NPI 1104221795) is a healthcare organization registered as a community/behavioral health in Las Vegas, Nevada and active in the NPI registry since October 2014. The organization lists Mitriece Amelia Sumbry, Owner, as its authorized official.

NPPES Registry Identity

NPI1104221795
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTHERN NEVADA BEHAVIORAL HEALTH AUTHORITY LLC
Location Address1125 CORAL ISLE WAYLas Vegas, NV 89108-1766
Mailing Address1125 Coral Isle WayLas Vegas, NV 89108-1766 · (702) 419-1262
Organization SubpartNo
Authorized OfficialMitriece Amelia SumbryOwner · (702) 419-1262
Enumeration DateOctober 27, 2014
NPI 1104221795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in NV · C201410130539
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1125 CORAL ISLE WAY, Las Vegas, NV 89108

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
1125 CORAL ISLE WAY
LAS VEGAS, NV 89108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104221795, enumerated as an "organization" on October 27, 2014.

The provider is located at 1125 CORAL ISLE WAY LAS VEGAS, NV 89108 and the phone number is (702) 419-1262.

Community/Behavioral Health with taxonomy code 251S00000X.