Canyon Light Treatment, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CANYON LIGHT TREATMENT, LLC

Practice address

2117 Alta Dr
Las Vegas, NV 89106-4808

Phone

(702) 530-5113

NPI assigned

Aug 28, 2026

Last updated

Aug 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Loren Mapula-Magdaleno, CPC, LCADC

Title

Clinical Director

Phone

(702) 782-8829

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1053229310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 LANTERN LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073229",
            "telephone_number": "702-530-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 ALTA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064808",
            "telephone_number": "702-530-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON LIGHT TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "MAPULA-MAGDALENO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "702-782-8829",
        "authorized_official_credential": "CPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canyon Gate Medical Group, LLC
• Canyon Gate Medical Group, LLC
• Canyon Gate Medical Group, LLC
• Canyon Gate Medical Group, LLC
• Canyon Lake Physical Therapy LLC
• Canyon Peak Behavioral Health
• Canyon Surgical Specialists LLC
• Ronetta Canyon
• Jeffrey Koichi Canzani, BCBA, RBT
• Rachael Canzona, MS, MFT-INTERN

• Substance Use Disorder Rehabilitation Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.