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

Lifespan Behavioral Health Nevada PC

Organization Neurology Physician · NPI 1114547726

Lifespan Behavioral Health Nevada PC is a Neurology Physician in Henderson, Nevada. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2401 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89052-2707
Phone: (702) 544-1776
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1114547726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Reidy — Office Admin · (800) 819-7570
NPI enumeratedApril 23, 2020
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address2505 Anthem Village Dr Ste E-508, Henderson, NV 89052-5505

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