Provider Demographics
NPI:1275339418
Name:CITY OF LAS VEGAS
Entity type:Organization
Organization Name:CITY OF LAS VEGAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRT PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:THANEPOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-766-3188
Mailing Address - Street 1:PO BOX 748029
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-8029
Mailing Address - Country:US
Mailing Address - Phone:702-383-2888
Mailing Address - Fax:
Practice Address - Street 1:500 N CASINO CENTER BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-2944
Practice Address - Country:US
Practice Address - Phone:702-383-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF LAS VEGAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No251B00000XAgenciesCase Management