Organization Active NPI

Seed Therapy LLC

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1255901807
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SEED THERAPY LLC
Practice address
10655 Park Run Dr Ste 210
Las Vegas, NV 89144-4590
Phone
(833) 234-7333
NPI assigned
Jun 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2021

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

Authorized official

Name
Elizabeth Serna
Title
Owner
Phone
(702) 278-3853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10655 Park Run Dr Ste 210
Las Vegas, NV 89144-4590

Mailing address

1909 Peyton Stewart CT
North Las Vegas, NV 89086-1381

Other identifiers 1

IdentifierTypeStateIssuer
1821481748MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624752000000",
    "number": "1255901807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 PEYTON STEWART CT",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890861381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10655 PARK RUN DR STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444590",
            "telephone_number": "833-234-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A",
        "authorized_official_last_name": "SERNA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-278-3853"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821481748",
            "state": "NV"
        }
    ],
    "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 Jun 27, 2021; 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.