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ETERNITY'S PATH NPI 1609212182


NPI Information

NPI: 1609212182
Provider Name: ETERNITY'S PATH
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1345 N HOLLYWOOD BLVD
LAS VEGAS, NV
ZIP 89110
Phone: (702) 758-5961
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ETERNITY'S PATH is a community behavioral health in Las Vegas, NV. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ETERNITY'S PATH NPI is 1609212182. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1345 N HOLLYWOOD BLVD
LAS VEGAS, NV
ZIP 89110-021
Phone: (702) 758-5961

The provider's authorized official is Sarita Edwards .
The authorized official title is President and has the following contact phone number (702) 540-8296.

The enumeration date for this NPI number is 5/10/2013 and was last updated on 8/8/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNV20131272872NEVADANo
2101YA0400XCounselorAddiction (Substance Use Disorder)NV20131272872NEVADANo
3101Y00000XCounselorNV20131272872NEVADANo
4104100000XSocial WorkerNV20131272872NEVADANo
5251S00000XCommunity/Behavioral HealthNV20131272872NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.