Provider Demographics
NPI:1063777969
Name:RAINBOW ADULT, CHILD, AND FAMILY SERVICES, L.L.C.
Entity type:Organization
Organization Name:RAINBOW ADULT, CHILD, AND FAMILY SERVICES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:702-715-1182
Mailing Address - Street 1:1810 E SAHARA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3735
Mailing Address - Country:US
Mailing Address - Phone:702-715-1182
Mailing Address - Fax:702-543-5109
Practice Address - Street 1:1810 E SAHARA AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3735
Practice Address - Country:US
Practice Address - Phone:702-715-1182
Practice Address - Fax:702-543-5109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-07
Last Update Date:2012-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20121340072251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health