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LAKESYDE BEHAVIORAL HEALTH LLC
NPI 1346131208
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Active since July 10, 2025
304 S JONES BLVD # 2676, LAS VEGAS, NV 89107(702) 344-8378 Get Directions Write a Review

NPPES record last updated: December 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 25, 2025, Jul 10, 2025 (2 updates tracked since 2025).

About Lakesyde Behavioral Health Llc NPPES

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

LAKESYDE BEHAVIORAL HEALTH LLC (NPI 1346131208) is a healthcare organization registered as a psychiatric/mental health in Las Vegas, Nevada and active in the NPI registry since July 2025. The organization lists Oluwagbemileke Adedotun, Owner, as its authorized official.

NPPES Registry Identity

NPI1346131208
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLAKESYDE BEHAVIORAL HEALTH LLC
Location Address304 S JONES BLVD # 2676Las Vegas, NV 89107-2623
Mailing Address304 S Jones Blvd # 2676Las Vegas, NV 89107-2623 · (702) 602-7626
Phone(702) 344-8378
Organization SubpartNo
Authorized OfficialOluwagbemileke AdedotunOwner · (702) 602-7626
Enumeration DateJuly 10, 2025
Last NPPES UpdateDecember 25, 20252 updates tracked since enumeration
NPPES CertifiedDecember 25, 2025
✔ NPI 1346131208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
304 S JONES BLVD # 2676, Las Vegas, NV 89107
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakesyde Behavioral Health LLC's NPI number?

The NPI number for Lakesyde Behavioral Health LLC is 1346131208. It was assigned to this organization in the NPPES registry on July 10, 2025.

Where is Lakesyde Behavioral Health LLC located?

Lakesyde Behavioral Health LLC is located at 304 S Jones Blvd # 2676, Las Vegas, NV 89107. The listed phone number is (702) 344-8378.

What is Lakesyde Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lakesyde Behavioral Health LLC was last updated on December 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.