Liaison Behavioral Health & Community Outreach, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIAISON BEHAVIORAL HEALTH & COMMUNITY OUTREACH, LLC.

Practice address

2520 Saint Rose Pkwy
Suite 202H
Henderson, NV 89074-7783

Phone

(702) 463-0598

NPI assigned

Jul 6, 2012

Last updated

Jul 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Vic Soundara

Title

Qmha/PSR

Phone

(413) 364-8781

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1164787008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 ST.ROSE PARKWAY",
            "address_2": "SUITE 202H",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "702-463-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SAINT ROSE PKWY",
            "address_2": "SUITE 202H",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747783",
            "telephone_number": "702-463-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIAISON BEHAVIORAL HEALTH & COMMUNITY OUTREACH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "SOUNDARA",
        "authorized_official_first_name": "VIC",
        "authorized_official_title_or_position": "QMHA/PSR",
        "authorized_official_telephone_number": "413-364-8781",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Azniv Libaryan, DMD, MAMG, MHA

• Community/Behavioral Health Agency in Henderson, NV
• Providers in Henderson, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.