PMG Healthy Living Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

E0032382017-5 Issued in NV

Legal business name

PMG HEALTHY LIVING SERVICES, LLC

Practice address

1555 E Flamingo Rd Ste 158
Las Vegas, NV 89119-9305

Phone

(702) 604-4595

Fax

(888) 247-5318

NPI assigned

Feb 22, 2017

Organization subpart

No

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

Authorized official

Name

Pamela Garrett

Title

President/Ceo

Phone

(702) 604-4595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1629517685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 E FLAMINGO RD STE 158",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891199305",
            "telephone_number": "702-604-4595",
            "fax_number": "888-247-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E FLAMINGO RD STE 158",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891199305",
            "telephone_number": "702-604-4595",
            "fax_number": "888-247-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMG HEALTHY LIVING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "702-604-4595"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "E0032382017-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.