Provider Demographics
NPI:1699446740
Name:ANGELS OF TOMORROW LLC
Entity type:Organization
Organization Name:ANGELS OF TOMORROW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LYNCH PSY.M.
Authorized Official - Suffix:
Authorized Official - Credentials:MASTER PSYCHOLOGIST
Authorized Official - Phone:702-203-5528
Mailing Address - Street 1:6794 MEDOVINA CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-6724
Mailing Address - Country:US
Mailing Address - Phone:702-203-5528
Mailing Address - Fax:
Practice Address - Street 1:6794 MEDOVINA CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-6724
Practice Address - Country:US
Practice Address - Phone:702-203-5528
Practice Address - Fax:702-203-5528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty