Endeavor Behavior Health Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20161046908 Issued in NV

Legal business name

ENDEAVOR BEHAVIOR HEALTH INC

Practice address

7390 W Saraha Ave
Suite 260
Las Vegas, NV 89117

Phone

(702) 852-2455

NPI assigned

Sep 12, 2016

Organization subpart

Yes

Parent organization

ENDEAVOR BEHAVIOR HEALTH LLCAs reported in NPPES

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

Authorized official

Name

Erica Goodley

Title

President

Phone

(702) 852-2455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1881142404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7390 W SAHARA AVE",
            "address_2": "SUITE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "702-852-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 W SARAHA AVE",
            "address_2": "SUITE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "702-852-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR BEHAVIOR HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENDEAVOR BEHAVIOR HEALTH LLC",
        "enumeration_date": "2016-09-12",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "GOODLEY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-852-2455"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20161046908",
            "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 Dec 20, 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.