TOWER BRIDGE DEVELOPMENTAL HEALTH CENTER NPI 1912268467

NPI Information

  • NPI: 1912268467
  • Provider Name: TOWER BRIDGE DEVELOPMENTAL HEALTH CENTER
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 9484 S EASTERN AVE
    SUITE 67
    LAS VEGAS, NV
    ZIP 89123
  • Phone: (702) 513-8321

Map and Directions

Get Directions

NPI Details

TOWER BRIDGE DEVELOPMENTAL HEALTH CENTER is an adolescent and children mental health clinic center in Las Vegas, NV. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. TOWER BRIDGE DEVELOPMENTAL HEALTH CENTER NPI is 1912268467. The provider is registered as an organization entity type.

The provider's business location address is:

9484 S EASTERN AVE
SUITE 67
LAS VEGAS, NV
ZIP 89123-987
Phone: (702) 513-8321

The provider's authorized official is Shana Wickersham .
The authorized official title is Owner and has the following contact phone number (702) 513-8321.

The enumeration date for this NPI number is 5/31/2012 and was last updated on 5/31/2012.

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
1261QM0855XClinic/CenterAdolescent and Children Mental 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11053417345MEDICAIDNEVADA
21750642310MEDICAIDNEVADA
31619968021MEDICAIDNEVADA
41487953915MEDICAIDNEVADA
51912272527MEDICAIDNEVADA
61679847040MEDICAIDNEVADA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI