Wholeness Mental Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WHOLENESS MENTAL HEALTH LLC

Practice address

5604 Harmony Ave
Las Vegas, NV 89107-2625

Phone

(702) 910-0308

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Yanetcy Cancino Acosta

Title

Owner

Phone

(702) 910-0308

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1679175442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 HARMONY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072625",
            "telephone_number": "702-910-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 HARMONY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072625",
            "telephone_number": "702-910-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLENESS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "YANETCY",
        "authorized_official_middle_name": "CANCINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-910-0308"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Nov 16, 2020; 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.