Organization Active NPI

Clear Water Healing Center of Nevada LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1639078645
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CLEAR WATER HEALING CENTER OF NEVADA LLC
Practice address
2000 S Eastern Ave Ste C
Las Vegas, NV 89104-4115
Phone
(702) 955-4746
NPI assigned
Nov 4, 2026
Last updated
Nov 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Authorized official

Name
Andra Clarke
Title
Managing Member
Phone
(702) 955-4746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2000 S Eastern Ave Ste C
Las Vegas, NV 89104-4115

Mailing address

2000 S Eastern Ave Ste C
Las Vegas, NV 89104-4115
Phone (702) 955-4746

NPI Registry JSON

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

{
    "created_epoch": "1793750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793750400000",
    "number": "1639078645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S EASTERN AVE STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044115",
            "telephone_number": "702-955-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S EASTERN AVE STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044115",
            "telephone_number": "702-955-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR WATER HEALING CENTER OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-04",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "ANDRA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-955-4746"
    },
    "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": []
}

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 Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.