OrganizationActive
Ebonny Behavioral Care Services Corporation
NPI 1467801134 · Primary Care Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1467801134
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Festus Ebonka, President(702) 515-9680
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1721 E Charleston Blvd Ste 300
Las Vegas, NV 89104-1902
Phone: (026) 850-6207
Fax: (702) 685-9674
Approximate (ZIP-level) locationGet directions
Mailing address
1721 E Charleston Blvd Ste 300
Las Vegas, NV 89104-1902
Registry dates
- Enumerated
- 2016-06-03
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.