Organization Active NPI

Life-Line Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1073012670
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFE-LINE BEHAVIORAL HEALTH LLC
Doing business as
Life-Line Behavioral Health
Practice address
2350 S Jones Blvd Ste 224
Las Vegas, NV 89146-3103
Phone
(702) 215-5835
NPI assigned
Feb 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leon Martel Harrell
Title
Owner/Manager
Phone
(702) 906-3467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2350 S Jones Blvd Ste 224
Las Vegas, NV 89146-3103

Mailing address

2350 S Jones Blvd Ste 224
Las Vegas, NV 89146-3103
Phone (702) 215-5835

Other names 1

  • Life-Line Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

2350 S Jones Blvd
Ste 224
Las Vegas, NV 89146
Phone (702) 215-5835

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1073012670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 S JONES BLVD STE 224",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463103",
            "telephone_number": "702-215-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 S JONES BLVD STE 224",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463103",
            "telephone_number": "702-215-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE-LINE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "MARTEL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "702-906-3467"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life-Line Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.