Provider Demographics
NPI:1134556632
Name:VALENTINE INTERNATIONAL PARTNERS
Entity type:Organization
Organization Name:VALENTINE INTERNATIONAL PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:RAMONE
Authorized Official - Last Name:VALENTINE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:702-943-0241
Mailing Address - Street 1:3651 LINDELL RD
Mailing Address - Street 2:SUITE D253
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-1254
Mailing Address - Country:US
Mailing Address - Phone:702-943-0241
Mailing Address - Fax:702-943-0233
Practice Address - Street 1:3651 LINDELL RD
Practice Address - Street 2:SUITE D253
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-1254
Practice Address - Country:US
Practice Address - Phone:702-943-0241
Practice Address - Fax:702-943-0233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVE02937920135251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health