Active NPI
Olivia's Wellness Center
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1427523463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- OLIVIA'S WELLNESS CENTER
- Practice address
- 2325 Daisy Hill Ave
Las Vegas, NV 89106-1779 - Phone
- (909) 634-9089
- NPI assigned
- Oct 5, 2018
- Last updated
- Oct 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Davion Haynes
- Title
- Owner
- Phone
- (909) 634-9089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
2325 Daisy Hill Ave
Las Vegas, NV 89106-1779
Mailing address
2325 Daisy Hill Ave
Las Vegas, NV 89106-1779
Phone (909) 634-9089
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538697600000",
"number": "1427523463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 DAISY HILL AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891061779",
"telephone_number": "909-634-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 DAISY HILL AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891061779",
"telephone_number": "909-634-9089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVIA'S WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-05",
"last_updated": "2018-10-05",
"status": "A",
"authorized_official_last_name": "HAYNES",
"authorized_official_first_name": "DAVION",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-634-9089"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"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 Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.