Achor Valley Therapy Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ACHOR VALLEY THERAPY SERVICES LLC

Doing business as

AVT Services

Practice address

6404 Pine Willows CT
North Las Vegas, NV 89084-1305

Phone

(702) 467-6133

NPI assigned

Jun 9, 2017

Last updated

Jul 21, 2022By 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

Kartaysa Berry

Title

Director

Phone

(702) 467-6133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AVT Services Doing business as

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295264513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 PINE WILLOWS CT",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841305",
            "telephone_number": "702-467-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 PINE WILLOWS CT",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841305",
            "telephone_number": "702-467-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHOR VALLEY THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "KARTAYSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-467-6133"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912287020",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVT Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, 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 21, 2022; 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.