NPIMap

Organization Active NPI

Pro-Health Therapeutic & Empowerment Services LLC

Doing business as ProHealth Wellness Group

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1225847601
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PRO-HEALTH THERAPEUTIC & EMPOWERMENT SERVICES LLC
Doing business as
ProHealth Wellness Group
Practice address
2755 E Desert Inn Rd Ste 260
Las Vegas, NV 89121-3690
Phone
(702) 490-9009
Fax
(866) 737-6147
NPI assigned
Dec 31, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Keisha GrahamNPI 1063780500
Title
Operations
Phone
(702) 490-9009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2755 E Desert Inn Rd Ste 260
Las Vegas, NV 89121-3690

Mailing address

2620 S Maryland Pkwy Ste 14-199
Las Vegas, NV 89109-8300
Phone (702) 490-9009

Other names 1

  • ProHealth Wellness Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pro-Health Therapeutic Emp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1225847601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S MARYLAND PKWY STE 14-199",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891098300",
            "telephone_number": "702-490-9009",
            "fax_number": "866-737-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 E DESERT INN RD STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213690",
            "telephone_number": "702-490-9009",
            "fax_number": "866-737-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-HEALTH THERAPEUTIC & EMPOWERMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "702-490-9009"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProHealth Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 31, 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.