Avenues 2 Success

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AVENUES 2 SUCCESS

Practice address

9520 Chanticleer CT
Las Vegas, NV 89129-7858

Phone

(310) 429-1453

NPI assigned

Apr 17, 2018

Last updated

Nov 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Unika Colbert

Title

Owner

Phone

(310) 429-1453

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1891282786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 CHANTICLEER COURT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89129",
            "telephone_number": "310-429-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 CHANTICLEER CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297858",
            "telephone_number": "310-429-1453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9250 Chanticleer Court",
            "address_purpose": "LOCATION",
            "city": "las vegas",
            "state": "NV",
            "postal_code": "89129",
            "country_code": "US",
            "telephone_number": "310-429-1453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVENUES 2 SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "UNIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-429-1453"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "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 13, 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.