NPIMap

Organization Active NPI

Tree of Life Mental Health Agency

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1649687351
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20141420640 Issued in NV
Legal business name
TREE OF LIFE MENTAL HEALTH AGENCY
Practice address
9404 Shellfish CT
Las Vegas, NV 89117-0267
Phone
(949) 335-2263
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Mrs. Remilyn HendersonNPI 1073915591
Title
President
Phone
(949) 335-2263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20141420640 NV Primary

Addresses

Primary practice location

9404 Shellfish CT
Las Vegas, NV 89117-0267

Mailing address

9404 Shellfish CT
Las Vegas, NV 89117-0267
Phone (949) 335-2263

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1649687351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 SHELLFISH CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891170267",
            "telephone_number": "949-335-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404 SHELLFISH CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891170267",
            "telephone_number": "949-335-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE MENTAL HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "REMILYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-335-2263",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20141420640",
            "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 Jul 14, 2014; 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.