OrganizationActive
Peavine Counseling LLC
NPI 1972272896 · Substance Abuse Rehabilitation Facility · Las Vegas, NV
Provider details
- NPI number
- 1972272896
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ulla Yandell, Managing Member(775) 560-9623
Specialties & taxonomies
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
480 W Bonanza Rd
Las Vegas, NV 89106-3227
Phone: (775) 560-9623
Fax: (866) 348-2644
Approximate (ZIP-level) locationGet directions
Mailing address
7117 Lakeland Rd
Las Vegas, NV 89145-6027
Registry dates
- Enumerated
- 2021-09-13
- Last updated
- 2021-09-13
- Certified
- 2021-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.