|
| |
|
526 S Tonopah Dr Ste 200 Las Vegas NV 89106-4013 | |
| (725) 246-1483 | |
| (702) 440-8430 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 526 S Tonopah Dr Ste 200, Las Vegas, Nevada |
| Authorized Official Name and Position | Wanda Marie Wilkins (CREDENTIALING) |
| Authorized Official Contact | 2067551879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
840 S Rancho Dr Ste 4-903 Las Vegas NV 89106-3837 Ph: (702) 440-8840 | 526 S Tonopah Dr Ste 200 Las Vegas NV 89106-4013 Ph: (725) 246-1483 |
| NPI Number | 1699357111 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 10/01/2021 |
| Certification Date | 10/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699357111 | NPI | - | NPPES |
| 832602698 | Medicaid | NV | |
| 1902149248 | Medicaid | NV |
Creating Empowerment Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4773 Madrid Ridge Ct, Las Vegas, NV 89129 Phone: 702-656-9890 Fax: 702-656-9152 | |
No Obstacles Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8565 S Eastern Ave, Suite 174, Las Vegas, NV 89123 Phone: 702-462-3082 | |
The Village Behavior Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Mcleod Dr, Suite 4&5, Las Vegas, NV 89120 Phone: 702-437-0341 | |
Journey Community Health Organization Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6512 N Decatur Blvd, Suite 130-114, Las Vegas, NV 89131 Phone: 702-830-2481 Fax: 702-664-0648 |