Provider Demographics
NPI:1962054007
Name:STRONG BEHAVIORAL HEALTH GROUP LLC
Entity type:Organization
Organization Name:STRONG BEHAVIORAL HEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMIE
Authorized Official - Middle Name:BIZET
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-581-8457
Mailing Address - Street 1:7100 GRAND MONTECITO PKWY UNIT 4043
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-0279
Mailing Address - Country:US
Mailing Address - Phone:702-581-8457
Mailing Address - Fax:
Practice Address - Street 1:7100 GRAND MONTECITO PKWY UNIT 4043
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-0279
Practice Address - Country:US
Practice Address - Phone:702-581-8457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty