Organization Active NPI

Millennial Wellness Center

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1649860693
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MILLENNIAL WELLNESS CENTER
Practice address
6153 Meadow Vista LN
Las Vegas, NV 89103-1170
Phone
(702) 683-3150
NPI assigned
Jan 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Authorized official

Name
Tonishia ChildressNPI 1255997896
Title
Owner
Phone
(702) 683-3150

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 Primary

Addresses

Primary practice location

6153 Meadow Vista LN
Las Vegas, NV 89103-1170

Mailing address

6153 Meadow Vista LN
Las Vegas, NV 89103-1170

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1611360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611360000000",
    "number": "1649860693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6153 MEADOW VISTA LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6153 MEADOW VISTA LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031170",
            "telephone_number": "702-683-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIAL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-23",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "TONISHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-683-3150"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Jan 23, 2021; 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.