Avenue L Behavioral Health

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

NV20171259753 Issued in NV

Legal business name

AVENUE L BEHAVIORAL HEALTH

Practice address

5489 Walton Heath Ave
Las Vegas, NV 89142-2590

Phone

(702) 355-8773

NPI assigned

Apr 21, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Shyntia Allen

Title

Owner

Phone

(702) 355-8773

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1497280960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 WALTON HEATH AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891422590",
            "telephone_number": "702-355-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5489 WALTON HEATH AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891422590",
            "telephone_number": "702-355-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE L BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SHYNTIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-355-8773",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NV",
            "license": "NV20171259753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Avendano, APRN
• Emily L. Avendula
• Joey Avendula
• Maria Isabelle Pangilinan Avenido
• Neil Andrew Avenido
• Avenues 2 Success
• James Alan Averett, DPM
• Rebeca Averhoff Abascal
• Leticia Averhoff
• Divina Gracia Averilla, MD

• All providers in Las Vegas, NV
• Mental Illness Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.