Cottonwood Clinical Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2840-C Issued in NV

Legal business name

COTTONWOOD CLINICAL SERVICES, LLC

Practice address

840 Pinnacle CT
BLDG. #11, Suite 101a
Mesquite, NV 89027-3303

Phone

(702) 346-8899

Fax

(702) 346-8801

NPI assigned

Jul 29, 2009

Last updated

Jul 29, 2009By 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

Deborah Bechtel, LCSW

Title

Owner

Phone

(702) 346-8899

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1457582132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINNACLE CT",
            "address_2": "BLDG. #11, SUITE 101A",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890273303",
            "telephone_number": "702-346-8899",
            "fax_number": "702-346-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PINNACLE CT",
            "address_2": "BLDG. #11, SUITE 101A",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890273303",
            "telephone_number": "702-346-8899",
            "fax_number": "702-346-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "BECHTEL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-346-8899",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "2840-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1437365954",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Mesquite, NV
• Providers in Mesquite, 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 29, 2009; 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.