Horizon Ridge Clinic LLC
Counselor (Mental Health)

Address: 3150 W Sahara Ave, Suite B21, Las Vegas, NV 89102-6002
Phone: 7024892889

Horizon Ridge Clinic LLC (NPI# 1265078273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1265078273
Entity Type Organization
Organization Name HORIZON RIDGE CLINIC LLC
Practice Address 3150 W Sahara Ave, Suite B21
Las Vegas
NV 89102-6002
Practice Telephone 7024892889
Practice Fax Number 7024898264
Mailing Address 3150 W Sahara Ave, Suite B21
Las Vegas
NV 89102-6002
Mailing Telephone 7024892889
Mailing Fax Number 7024898264
Authorized Official Name Bruce Anthony Eddins (CHIEF ADMINISTRATOR)
Authorized Official Telephone 7024892889
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-11-25
Last Update Date 2019-11-25

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers
No 103TB0200X Psychologist · Cognitive & Behavioral Behavioral Health & Social Service Providers
No 103TF0000X Psychologist · Family Behavioral Health & Social Service Providers

Other Provider Identifier

State Identifier Issuer Type Code
NV 1376997627 MEDICAID
NV 1881003739 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1376997627 Horizon Ridge Clinic LLC Clinic/Center 3160 W Sahara Ave Ste A11, Las Vegas, NV 89102-3215 2016-04-22
1881003739 Horizon Ridge Clinic LLC Case Management 3150 W Sahara Ave, Suite B22, Las Vegas, NV 89102-6002 2014-08-05

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Office Location

Street Address 3150 W SAHARA AVE, SUITE B21
City LAS VEGAS
State NV
Zip Code 89102-6002

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447893185 Maria Josefina Castaneda Technician 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 2019-10-25
1427608777 Virginia Hernandez Tolentino Technician 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 2019-09-18
1972153872 Gladiola Cardoza Quinones Technician 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 2019-09-13
1801445572 Rafael Roberto Gonzalez Palomino Homemaker 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 2019-09-05
1780232694 Juan Manuel Perez Reyes Technician 4117 El Parque Ave, Las Vegas, NV 89102 2019-09-04
1205484979 Veronica Robles Contreras Technician 2881 S Valley View Blvd Suite #6, Las Vegas, NV 89102 2019-08-27
1023666856 Gladys Fabiola Rodriguez-arellano Technician 4550 W 2109 Dogwood Ave, Las Vegas, NV 89102 2019-08-26
1699321497 Maria Estela Tabares Hernandez Adult Companion 4550 W. Oakey Blvd., Suite 105, Las Vegas, NV 89102 2019-08-16
1629624051 Eva Maria Silva-martinez Technician 4550 W Oakey Blvdr, Las Vegas, NV 89102 2019-08-12
1780239897 Susana Aguero-garcia Technician 4550 W Oakey Blvd, Suit 111-0, Las Vegas, NV 89102 2019-08-06
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Competitor

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City LAS VEGAS
Zip Code 89102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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