Organization Active NPI

W.B. Wellness L.L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1255920401
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
W.B. WELLNESS L.L.C.
Practice address
7347 Charro CT
Las Vegas, NV 89179-1239
Phone
(702) 619-9554
NPI assigned
Jan 12, 2021
Last updated
Jan 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Mr. Wanya Dijon Brooks
Title
Owner
Phone
(702) 619-9554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

7347 Charro CT
Las Vegas, NV 89179-1239

Mailing address

7347 Charro CT
Las Vegas, NV 89179-1239
Phone (702) 619-9554

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1255920401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7347 CHARRO CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891791239",
            "telephone_number": "702-619-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7347 CHARRO CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891791239",
            "telephone_number": "702-619-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.B. WELLNESS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "WANYA",
        "authorized_official_middle_name": "DIJON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-619-9554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "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 Jan 12, 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.