Active NPI
Livelihood Wellness LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Las Vegas, NV
National Provider Identifier
1427665298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LIVELIHOOD WELLNESS LLC
- Doing business as
- Livelihood Wellness LLC
- Practice address
- 2655 E Deer Springs Way Apt 1029
North Las Vegas, NV 89086-1451 - Phone
- (702) 720-7029
- NPI assigned
- Sep 25, 2020
- 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
- Mr. Alfonso Rafeky Brooks Jr.
- Title
- Manager
- Phone
- (702) 720-7029
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2655 E Deer Springs Way Apt 1029
North Las Vegas, NV 89086-1451
Mailing address
2655 E Deer Springs Way Apt 1029
North Las Vegas, NV 89086-1451
Phone (702) 720-7029
Other names 1
- Livelihood Wellness LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600992000000",
"number": "1427665298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 E DEER SPRINGS WAY APT 1029",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861451",
"telephone_number": "702-720-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 E DEER SPRINGS WAY APT 1029",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861451",
"telephone_number": "702-720-7029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVELIHOOD WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "ALFONSO",
"authorized_official_middle_name": "RAFEKY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "702-720-7029",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Livelihood Wellness LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.