Bridges Youth and Family Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20131717184 Issued in NV

Legal business name

BRIDGES YOUTH AND FAMILY SERVICES LLC

Practice address

2350 S Jones Blvd Ste 101
Las Vegas, NV 89146-3118

Phone

(702) 215-5830

Fax

(702) 215-5801

NPI assigned

Jan 19, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Peter McCoy, L.C.S.W.

Title

Owner/Managing Member

Phone

(702) 321-9883

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1336506559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 S JONES BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463118",
            "telephone_number": "702-215-5830",
            "fax_number": "702-215-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 S JONES BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463118",
            "telephone_number": "702-215-5830",
            "fax_number": "702-215-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES YOUTH AND FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "702-321-9883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20131717184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in 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 Jan 19, 2016; 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.