Wishing Well Child and Family Therapy LLC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

WISHING WELL CHILD AND FAMILY THERAPY LLC

Practice address

1798 Bridlegate Ave
Henderson, NV 89012-3253

Phone

(702) 234-3559

NPI assigned

Mar 12, 2012

Organization subpart

No

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

Authorized official

Name

Qingfang Zhang, LCSW

Title

Owner

Phone

(702) 234-3559

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1356616262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798 BRIDLEGATE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123253",
            "telephone_number": "702-234-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 BRIDLEGATE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123253",
            "telephone_number": "702-234-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISHING WELL CHILD AND FAMILY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "QINGFANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-234-3559",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6167-C",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Khrystine Winward
• Christa Allison Wirges, D.D.S
• Amanda Wirig
• Matthew Richard Wirig, D.M.D.
• Jeri L Wise, MPT
• Jaime Ellis Witty
• Jenny Wixom-Cooper
• John R Wohlwend, MD
• Josephine Virginia Wojtkowiak, DPT
• Adrienne Wolf

• Rehabilitation Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.