Culturation Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

CULTURATION INC.

Doing business as

The Teen Spot

Practice address

4144 Thomas Patrick Ave
North Las Vegas, NV 89032-8942

Phone

(702) 487-3095

Fax

(702) 647-3714

NPI assigned

Jul 10, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Shetonya Fordham

Title

Owner/President

Phone

(702) 574-1857

Specialties & licenses 1

Addresses

Other names 1

• The Teen Spot Doing business as

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1255560314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 THOMAS PATRICK AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328942",
            "telephone_number": "702-487-3095",
            "fax_number": "702-647-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 THOMAS PATRICK AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328942",
            "telephone_number": "702-487-3095",
            "fax_number": "702-647-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "FORDHAM",
        "authorized_official_first_name": "SHETONYA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "702-574-1857",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Teen Spot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Silvia Lorena Cuevas Arias
• Rosa Maria Cuevas Rodriguez
• Christina Cuevas
• Lynn Culberg
• Dana Lynn Culligan, AU.D., CCC-A
• Cultured Creatives Development Non Profit
• Aneacia Cummings, M.S. CCC-SLP
• Candie Rene Cuneo, PMHNP-BC
• Lismailen Curbello
• Cure Inc.

• Emotionally Disturbed Childrens' Residential Treatment Facility in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.