Organization Active NPI

Olivia's Wellness Center

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1427523463
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.