Organization Active NPI

Tree of Life Mental Health Systems, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1063950608
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20171013624 Issued in NV
Legal business name
TREE OF LIFE MENTAL HEALTH SYSTEMS, LLC
Practice address
501 S Rancho Dr Ste I62
Las Vegas, NV 89106-4838
Phone
(702) 984-6500
NPI assigned
Feb 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Remilyn Henderson, LVNNPI 1073915591
Title
Co-Founder
Phone
(949) 335-2263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20171013624 NV Primary

Addresses

Primary practice location

501 S Rancho Dr Ste I62
Las Vegas, NV 89106-4838

Mailing address

9404 Shellfish CT
Las Vegas, NV 89117-0267
Phone (949) 335-2263

Other practice location 1

8400 W Virginia Ave Apt 1138
Phoenix, AZ 85037-8370
Phone (702) 984-6500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063950608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 SHELLFISH CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891170267",
            "telephone_number": "949-335-2263",
            "fax_number": "702-974-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR STE I62",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064838",
            "telephone_number": "702-984-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 W Virginia Ave Apt 1138",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850378370",
            "country_code": "US",
            "telephone_number": "702-984-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TREE OF LIFE MENTAL HEALTH SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "REMILYN",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "949-335-2263",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20171013624",
            "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 Jul 21, 2022; 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.