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

Organization Addiction (Substance Use Disorder) Counselor · NPI 1790267912

Nevada State Triage Center is an Addiction (Substance Use Disorder) Counselor in Las Vegas, Nevada. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
9
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Practice location Address checks out

5530 S Jones Blvd
Las Vegas, NV 89118-0566
Phone: (702) 683-4498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Behavior Technician Taxonomy 106S00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X
Prevention Professional Taxonomy 405300000X

Record details

NPI number1790267912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clifford Etienne — Chief Financial Offier · (702) 771-0304
NPI enumeratedSeptember 4, 2018
Last updated in NPPESJanuary 15, 2019
Mailing address5530 S Jones Blvd, Las Vegas, NV 89118-0566

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