Organization Active NPI

CDG Enterprises, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Henderson, NV
National Provider Identifier
1851082200
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CDG ENTERPRISES, LLC
Doing business as
CDG Enterprises, LLC
Practice address
203 S Water St Ste 208
Henderson, NV 89015-7226
Phone
(770) 231-4792
Fax
(404) 891-4140
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Camille Dione Grier, LPCNPI 1972831832
Title
Owner
Phone
(770) 880-9470

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

203 S Water St Ste 208
Henderson, NV 89015-7226

Mailing address

532 Holick Ave
Henderson, NV 89011-4339
Phone (770) 880-9470

Other practice location 1

8165 E Indian Bend Rd Ste 135
Scottsdale, AZ 85250-4829
Phone (480) 750-1510

Other names 1

  • CDG Enterprises, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

8165 E Indian Bend Rd
Ste 135
Scottsdale, AZ 85250
Phone (480) 750-1510

203 S Water St
Ste 208
Henderson, NV 89015
Phone (770) 231-4792

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": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1851082200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 HOLICK AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114339",
            "telephone_number": "770-880-9470",
            "fax_number": "404-891-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WATER ST STE 208",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157226",
            "telephone_number": "770-231-4792",
            "fax_number": "404-891-4140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8165 E Indian Bend Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852504829",
            "country_code": "US",
            "telephone_number": "480-750-1510",
            "fax_number": "404-891-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CDG ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "GRIER",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "DIONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-880-9470",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDG Enterprises, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.