Abraxas Center LLC
Organization Active NPI Community/Behavioral Health Agency · Las Vegas, NV
NPI 1013548817 · NPPES record last updated Jan 30, 2020
Key facts
- NPI
- 1013548817
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ABRAXAS CENTER LLC
- Practice address
- 4575 W Cougar Ave Ste 300
Las Vegas, NV 89139-7617 - Phone
- (702) 412-8405
- NPI assigned
- Jan 30, 2020
- Organization subpart
- No
Authorized official
- Name
- Jenny Casino, LCSW
- Title
- Co-Founder
- Phone
- (702) 412-8405
National Provider Directory
Locations
4575 W Cougar Ave
Ste 300
Las Vegas, NV 89139
Phone (702) 412-8405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
4575 W Cougar Ave Ste 300
Las Vegas, NV 89139-7617
Mailing address
4262 Blue Diamond Rd # 102-105
Las Vegas, NV 89139-7789
Phone (702) 412-8405
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jenny@abraxascc.com | ||
| Direct Messaging Address | sydney@abraxascc.com |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.