NPIMap

Organization Active NPI

Bespoke Treatment LLC

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1356054019
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BESPOKE TREATMENT LLC
Practice address
2820 W Charleston Blvd Ste 38
Las Vegas, NV 89102-1934
Phone
(833) 867-2329
Fax
(833) 867-3757
NPI assigned
Dec 27, 2022
Organization subpart
Yes
Parent organization
BESPOKE TREATMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Ms. Thi Hoang
Title
Business Office Representative
Phone
(702) 205-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2820 W Charleston Blvd Ste 38
Las Vegas, NV 89102-1934

Mailing address

12381 Wilshire Blvd Ste 205
Los Angeles, CA 90025-1063
Phone (833) 867-2329

National Provider Directory

National Provider Directory
Tax ID family
Bespoke Treatment LLC3 organizations share this tax ID, including this one
Part of
Bespoke Treatment LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1356054019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12381 WILSHIRE BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251063",
            "telephone_number": "833-867-2329",
            "fax_number": "833-867-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD STE 38",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021934",
            "telephone_number": "833-867-2329",
            "fax_number": "833-867-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE TREATMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BESPOKE TREATMENT LLC",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "THI",
        "authorized_official_title_or_position": "BUSINESS OFFICE REPRESENTATIVE",
        "authorized_official_telephone_number": "702-205-8232",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental 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 Dec 27, 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.