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PRO-HEALTH THERAPEUTIC & EMPOWERMENT SERVICES LLC NPI 1013330695


NPI Information

NPI: 1013330695
Provider Name: PRO-HEALTH THERAPEUTIC & EMPOWERMENT SERVICES LLC

Doing Business As: PRO-HEALTH WELLNESS GROUP

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3376 S EASTERN AVE # 188A
LAS VEGAS, NV
ZIP 89169
Phone: (702) 490-9009
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PRO-HEALTH THERAPEUTIC & EMPOWERMENT SERVICES LLC is a community behavioral health in Las Vegas, NV. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PRO-HEALTH THERAPEUTIC & EMPOWERMENT SERVICES LLC NPI is 1013330695. The provider is registered as an organization entity type.
The provider Is Doing Business As Pro-health Wellness Group.

The provider's business location address is:

3376 S EASTERN AVE # 188A
LAS VEGAS, NV
ZIP 89169-380
Phone: (702) 490-9009
Fax: (866) 737-6147

The provider's authorized official is Keisha Graham .
The authorized official title is Director Of Operations and has the following contact phone number (702) 490-9009.

The enumeration date for this NPI number is 2/2/2014 and was last updated on 7/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11015873316MEDICAIDNEVADA
21063780500MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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