Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebonny Behavioral Care Services Corporation

Organization Family Medicine Physician · NPI 1467801134

Ebonny Behavioral Care Services Corporation is a Family Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
5

Practice location Address checks out

1721 E Charleston Blvd Ste 300
Las Vegas, NV 89104-1902
Phone: (026) 850-6207
Fax: (702) 685-9674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Family Medicine Physician Taxonomy 207Q00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Family Nurse Practitioner Taxonomy 363LF0000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1467801134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Festus Ebonka — President · (702) 515-9680
NPI enumeratedJune 3, 2016
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address1721 E Charleston Blvd Ste 300, Las Vegas, NV 89104-1902

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