Provider Demographics
NPI:1104681691
Name:THE CITY OF LAS VEGAS
Entity type:Organization
Organization Name:THE CITY OF LAS VEGAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR NEIGHBORHOOD OUTREACH SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:COOKSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-229-4695
Mailing Address - Street 1:495 S MAIN ST DEPT OF
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-6318
Mailing Address - Country:US
Mailing Address - Phone:702-229-2485
Mailing Address - Fax:
Practice Address - Street 1:314 FOREMASTER LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-1008
Practice Address - Country:US
Practice Address - Phone:702-229-2485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health