Half Moon Mental Health and Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HALF MOON MENTAL HEALTH AND WELLNESS

Practice address

4955 S Durango Dr Ste 157
Las Vegas, NV 89113-0154

Phone

(702) 234-2926

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Alexis Enterline, LCSWNPI 1295933240

Title

Owner

Phone

(702) 234-2926

Specialties & licenses 1

Addresses

Practitioners 1

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

• Alexis Ann Enterline, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1295933240
  NPD Authorized official

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1073294062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7236 BOYD LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312502",
            "telephone_number": "702-234-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 S DURANGO DR STE 157",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130154",
            "telephone_number": "702-234-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALF MOON MENTAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "ENTERLINE",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-234-2926",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Dalton Haley
• Jennifer Haley
• Rebekah Ann Haley, NP-C
• Renata Haley
• Vincent Haley
• Devin Halfacre
• Theresa Haliey
• Elona Halili, LCSW
• Jennifer Laine Halili
• Jessica Lyn Halili I

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.