NPIMap

Organization Active NPI

Brandy Nicole McCullouch

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
National Provider Identifier
1578067542
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRANDY NICOLE MCCULLOUCH
Doing business as
A-Wellness Group
Practice address
708 Cowboy Cross Ave
North Las Vegas, NV 89081
Phone
(702) 934-1526
Fax
(702) 934-1526
NPI assigned
Mar 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Mrs. Brandy McCullouch
Title
Owner
Phone
(702) 934-1526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

708 Cowboy Cross Ave
North Las Vegas, NV 89081

Mailing address

708 Cowboy Cross Ave
North Las Vegas, NV 89081-6746
Phone (702) 934-1526

Other names 1

  • A-Wellness Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Absolute Wellness Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1578067542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 COWBOY CROSS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816746",
            "telephone_number": "702-934-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 COWBOY CROSS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89081",
            "telephone_number": "702-934-1526",
            "fax_number": "702-934-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDY NICOLE MCCULLOUCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUCH",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-934-1526",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A-Wellness Group",
            "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 Jul 19, 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.