NPIMap

Organization Active NPI

Grace and Wellness, LLC

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1679888309
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GRACE AND WELLNESS, LLC
Doing business as
Grace and Wellness
Practice address
9175 Las Vegas Blvd S
Suite 110
Las Vegas, NV 89123-3359
Phone
(702) 240-9355
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Ms. Leslie Askin-Moreland, LDAC
Title
Qualified Mental Health Professiona
Phone
(702) 240-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

9175 Las Vegas Blvd S
Suite 110
Las Vegas, NV 89123-3359

Mailing address

9175 Las Vegas Blvd S
Suite 110
Las Vegas, NV 89123-3359
Phone (702) 240-9355

Other names 1

  • Grace and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

9175 Las Vegas Blvd S
Ste 110
Las Vegas, NV 89123
Phone (702) 240-9355

Practitioners & affiliated clinicians

Practitioners 6

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": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1679888309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9175 LAS VEGAS BLVD S",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891233359",
            "telephone_number": "702-240-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9175 LAS VEGAS BLVD S",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891233359",
            "telephone_number": "702-240-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "ASKIN-MORELAND",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "QUALIFIED MENTAL HEALTH PROFESSIONA",
        "authorized_official_telephone_number": "702-240-9355",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LDAC"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 18, 2010; 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.