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Stark Medicine
Adolescent and Children Mental Health Clinic/Center in Las Vegas, Nevada
NPI 1699357111

Stark Medicine is an Adolescent and Children Mental Health Clinic/Center based in Las Vegas, NV and is specialized in Adolescent and Children Mental Health. Stark Medicine practices in Las Vegas, NV. The NPI Number for Stark Medicine is 1699357111 and holds a License No. (Nevada).

The current practice location address for Stark Medicine is 526 S Tonopah Dr Ste 200, Las Vegas, NV and can be reached out via phone at 725-246-1483 and via fax at 702-440-8430.

Location: 526 S Tonopah Dr Ste 200, Las Vegas, NV, 89106-3837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699357111
Provider Name
Stark Medicine
Credential
Provider Entity Type
Organization
Address
526 S Tonopah Dr Ste 200, Las Vegas, NV, 89106-3837
Phone Number
725-246-1483
Fax Number
702-440-8430
Provider Enumeration Date
04/23/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
832602698 05 NV
1902149248 05 NV
institution
Provider Business Practice Location Address Details
Address
526 S Tonopah Dr Ste 200
City
Las Vegas
State
Nevada
Zip
89106-4013
Phone Number
725-246-1483
Fax Number
702-440-8430
person
Provider Business Mailing Address Details
Address
526 S Tonopah Dr Ste 200
City
Las Vegas
State
Nevada
Zip
89106-4013
Phone Number
725-246-1483
Fax Number
702-440-8430
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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