Organization Active NPI

Clear Water Healing Center

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1003639212
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLEAR WATER HEALING CENTER
Practice address
2000 S Eastern Ave Ste S
Las Vegas, NV 89104-4100
Phone
(623) 521-5605
NPI assigned
Nov 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andra Clarke
Title
Owner/Administrator
Phone
(623) 521-5605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2000 S Eastern Ave Ste S
Las Vegas, NV 89104-4100

Mailing address

40 Moon Hill Dr
Henderson, NV 89011-3799
Phone (623) 521-5605

National Provider Directory

National Provider Directory

Locations

2000 S Eastern Ave
Ste S
Las Vegas, NV 89104
Phone (623) 521-5605

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1003639212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MOON HILL DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890113799",
            "telephone_number": "623-521-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S EASTERN AVE STE S",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044100",
            "telephone_number": "623-521-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR WATER HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "ANDRA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "623-521-5605"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.