Provider Demographics
NPI:1033929260
Name:ASPIRE BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:ASPIRE BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ-LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-265-8436
Mailing Address - Street 1:7260 W AZURE DR STE 140-447
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-7999
Mailing Address - Country:US
Mailing Address - Phone:702-789-7282
Mailing Address - Fax:
Practice Address - Street 1:8485 ROYALSTON FALLS CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89143-5001
Practice Address - Country:US
Practice Address - Phone:702-265-8436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASPIRE BEHAVIORAL SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency