Wanda Gaston
Individual provider Active NPI Community/Behavioral Health Agency · NLV, NV
NPI 1003386590 · NPPES record last updated Nov 28, 2018
Key facts
- NPI
- 1003386590
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 3925 N. Martin Luther King Blvd Ste 207
NLV, NV 89032 - Phone
- (702) 684-7757
- Fax
- (702) 684-7381
- NPI assigned
- Nov 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| There Is Hope | Community/Behavioral Health | Past | Accepting new patients |
| There Is Hope LLC | Community/Behavioral Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
3925 N. Martin Luther King Blvd Ste 207
NLV, NV 89032
Mailing address
3925 N. Martin Luther King Blvd Ste 207
NLV, NV 89032
Phone (702) 684-7757
Other providers in NLV, NV
All providers in NLV, NV · Community/Behavioral Health Agency in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.