Provider Demographics
NPI:1780102194
Name:ZIONS BEHAVIORAL & MENTORING SERVICES
Entity type:Organization
Organization Name:ZIONS BEHAVIORAL & MENTORING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:BSHS-CFS
Authorized Official - Phone:702-592-6728
Mailing Address - Street 1:6274 MOUNT PALOMAR AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-7202
Mailing Address - Country:US
Mailing Address - Phone:702-592-6728
Mailing Address - Fax:702-649-6249
Practice Address - Street 1:6274 MOUNT PALOMAR AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-7202
Practice Address - Country:US
Practice Address - Phone:702-592-6728
Practice Address - Fax:702-649-6249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No273Y00000XHospital UnitsRehabilitation UnitGroup - Single Specialty