Essential Wellness Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20131725272 Issued in NV

Legal business name

ESSENTIAL WELLNESS SERVICES, INC.

Practice address

6716 Lavender Lilly LN
Unit 1
North Las Vegas, NV 89084-2943

Phone

(702) 279-7503

Fax

(702) 522-1575

NPI assigned

Dec 17, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Angele Lynette Jackson

Title

Director

Phone

(702) 279-7503

Specialties & licenses 1

Addresses

Other names 1

• Essential Wellness Doing business as

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1376964437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 LAVENDER LILLY LN",
            "address_2": "UNIT 1",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842943",
            "telephone_number": "702-279-7503",
            "fax_number": "702-522-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 LAVENDER LILLY LN",
            "address_2": "UNIT 1",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842943",
            "telephone_number": "702-279-7503",
            "fax_number": "702-522-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL WELLNESS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANGELE",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-279-7503",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20131725272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essential Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Essential Needs Services LLC
• Donna M Essex
• Nicholas Estelle, APRN
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• Lina Estevez Urra
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• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.