Clean Shot Living

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CLEAN SHOT LIVING

Practice address

1813 Betty LN
Las Vegas, NV 89156-6728

Phone

(877) 457-6238

NPI assigned

Dec 16, 2024

Organization subpart

No

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

Authorized official

Name

Thomas Zarro

Title

President

Phone

(702) 287-9715

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1407663115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 BETTY LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891566728",
            "telephone_number": "877-457-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 BETTY LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891566728",
            "telephone_number": "877-457-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN SHOT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "ZARRO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-287-9715"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laianni Denae Clayton
• Rebbel Clayton
• Rhonda June Clayton
• Rochelle Yvonne Clayton
• Tiffany Clayton
• Clear Choice Therapeutic Center, LLC
• Clear Communication Specialists
• Clear Mind Health and Wellness LLC
• Clear Mind Mental Health LLC
• Clear Minds Counseling Agency LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.