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CHARLENE WHITE BYNUM DOCTORAL STUDENT HCA
NPI 1558665208
Counselor - Addiction (Substance Use Disorder) in Las Vegas, NV

Active since January 10, 2011
1213 BALZAR AVE, LAS VEGAS, NV 89106(702) 810-4830(702) 255-7766 Get Directions Write a Review

NPPES record last updated: January 10, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Charlene White Bynum Doctoral Student Hca NPPES

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

CHARLENE WHITE BYNUM DOCTORAL STUDENT HCA (NPI 1558665208) is an individual addiction (substance use disorder) provider in Las Vegas, Nevada, licensed in Nevada (5464TLF-1) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1558665208
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCHARLENE WHITE BYNUMCredential: DOCTORAL STUDENT HCA
Location Address1213 BALZAR AVELas Vegas, NV 89106-2207
Mailing Address408 Eldorado Hills CtLas Vegas, NV 89110-5646 · (702) 810-4830 · Fax (702) 255-7766
Phone(702) 810-4830
Fax(702) 255-7766
Sole ProprietorNo
Enumeration DateJanuary 10, 2011
✔ NPI 1558665208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NV · 5464TLF-1
Also ListedBehavior AnalystTaxonomy 103K00000X · License 5061AGC-1 (NV)
1213 BALZAR AVE, Las Vegas, NV 89106
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Other Identifiers 2

Medicaid251S0000XNV
Medicare OSCAR/certification251B00000XNV

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 Charlene Bynum's NPI number?

The NPI number for Charlene Bynum is 1558665208. It was assigned to this individual provider in the NPPES registry on January 10, 2011.

Where is Charlene Bynum located?

Charlene Bynum practices at 1213 Balzar Ave, Las Vegas, NV 89106. The listed phone number is (702) 810-4830.

What is Charlene Bynum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Charlene Bynum was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.