OrganizationEquity Behavioral Health LlcCommunity/Behavioral HealthAgenciesPractice Address2001 S Jones Blvd Ste J, Las Vegas, NV 89146-3165(702) 712-0291PECOS EnrollmentBased on the most recent information from CMS, provider Equity Behavioral Health Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1265094775Provider TypeOrganizationFull NameEquity Behavioral Health LlcSubpartNoEnumeration Date7/4/2019Last Updated4/10/2020Contact InformationPractice LocationPractice Address2001 S Jones Blvd Ste J, Las Vegas, NV 89146-3165Phone(702) 712-0291FaxUnlisted FaxMailing LocationMailing Address7099 N Hualapai Way Apt 1116, Las Vegas, NV 89166-1107PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameMallard, Tyron (Owner)Phone(323) 359-7804Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer