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

Providence Mental Health LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1700656964

Providence Mental Health LLC is a Mental Illness Community Based Residential Treatment Facility in Las Vegas, Nevada. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5615 Teton Glacier St
Las Vegas, NV 89148-7710
Phone: (702) 689-3475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1700656964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mercedes Williams — Owner · (702) 689-3475
NPI enumeratedJanuary 8, 2024
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024
Mailing address5615 Teton Glacier St, Las Vegas, NV 89148-7710

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