Organization Active NPI

Wounds Into Wisdom LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1821581497
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WOUNDS INTO WISDOM LLC
Practice address
3170 W Sahara Ave Ste D24
Las Vegas, NV 89102-6095
Phone
(219) 718-9034
NPI assigned
Jun 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Authorized official

Name
Kelly LovelessNPI 1154847689
Title
Ceo
Phone
(219) 718-9034

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

3170 W Sahara Ave Ste D24
Las Vegas, NV 89102-6095

Mailing address

3170 W Sahara Ave Ste D24
Las Vegas, NV 89102-6095
Phone (219) 718-9034

National Provider Directory

National Provider Directory

Locations

3170 W Sahara Ave
Ste D24
Las Vegas, NV 89102
Phone (219) 718-9034

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": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1821581497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 W SAHARA AVE STE D24",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891026095",
            "telephone_number": "219-718-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 W SAHARA AVE STE D24",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891026095",
            "telephone_number": "219-718-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDS INTO WISDOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "LOVELESS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-718-9034"
    },
    "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 Jun 8, 2018; 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.