Organization Active NPI

Liaison Behavioral Health and Community Outreach LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1124303805
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIAISON BEHAVIORAL HEALTH AND COMMUNITY OUTREACH LLC
Practice address
315 Rhiannon CT
Las Vegas, NV 89183-4302
Phone
(702) 800-1820
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Angelina Marie Virella
Title
Director
Phone
(702) 800-1820

Specialties & licenses 1

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

Addresses

Primary practice location

315 Rhiannon CT
Las Vegas, NV 89183-4302

Mailing address

315 Rhiannon CT
Las Vegas, NV 89183-4302
Phone (702) 800-1820

National Provider Directory

National Provider Directory

Locations

2920 N Green Valley Pkwy
Ste 313
Henderson, NV 89014
Phone (702) 778-3527

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1124303805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 RHIANNON CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891834302",
            "telephone_number": "702-800-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 RHIANNON CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891834302",
            "telephone_number": "702-800-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIAISON BEHAVIORAL HEALTH AND COMMUNITY OUTREACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "VIRELLA",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-800-1820"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 29, 2015; 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.