WELLNESS SUPPORT SERVICES NPI 1164111035

NPI Information

  • NPI: 1164111035
  • Provider Name: WELLNESS SUPPORT SERVICES
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 3930 E PATRICK LN
    LAS VEGAS, NV
    ZIP 89120
  • Phone: (951) 400-8548

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NPI Details

WELLNESS SUPPORT SERVICES is a mental health (including community mental health center) clinic center in Las Vegas, NV. WELLNESS SUPPORT SERVICES NPI is 1164111035. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3930 E PATRICK LN
LAS VEGAS, NV
ZIP 89120-924
Phone: (951) 400-8548

The provider's authorized official is Maria Jackson .
The authorized official title is Owner and has the following contact phone number (951) 400-8548.

The enumeration date for this NPI number is 5/5/2023 and was last updated on 5/5/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103K00000XBehavior AnalystNo
41041C0700XSocial WorkerClinicalNo
5163WP0000XRegistered NursePain ManagementNo
6207QA0401XFamily MedicineAddiction MedicineNo
7251S00000XCommunity/Behavioral HealthNo
8261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
9261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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