Provider Demographics
NPI:1730508383
Name:HENDRIX INVESTMENT GROUP LLC
Entity type:Organization
Organization Name:HENDRIX INVESTMENT GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:HENDRIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-389-5060
Mailing Address - Street 1:6671 LAS VEGAS BLVD S
Mailing Address - Street 2:BLDG D STE 210
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-3273
Mailing Address - Country:US
Mailing Address - Phone:702-389-5060
Mailing Address - Fax:702-623-9254
Practice Address - Street 1:6671 LAS VEGAS BLVD S
Practice Address - Street 2:BLDG D STE 210
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-3273
Practice Address - Country:US
Practice Address - Phone:702-389-5060
Practice Address - Fax:702-623-9254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20121377667251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health