NPIMap

Organization Active NPI

R & R Residential Services LLC

Doing business as Creative Life Behavioral Health Services

  • Marriage & Family Therapist
  • North Las Vegas, NV
National Provider Identifier
1932343977
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0622 Issued in NV
Legal business name
R & R RESIDENTIAL SERVICES LLC
Doing business as
Creative Life Behavioral Health Services
Practice address
5175 Camino Al Norte
Ste. 100
North Las Vegas, NV 89031-2407
Phone
(702) 636-9357
Fax
(702) 868-8357
NPI assigned
Apr 21, 2009
Last updated
Apr 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Ms. Kulinda Dannielle RollinsNPI 1114220050
Title
Managing Member
Phone
(702) 636-9357

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
Marriage & Family Therapist 106H00000X 0622 NV Primary

Addresses

Primary practice location

5175 Camino Al Norte
Ste. 100
North Las Vegas, NV 89031-2407

Mailing address

5175 Camino Al Norte
Ste. 100
North Las Vegas, NV 89031-2407
Phone (702) 636-9357

Other names 1

  • Creative Life Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

5175 Camino Al Norte
Ste 100
North Las Vegas, NV 89031
Phone (702) 636-4870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1932343977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 CAMINO AL NORTE",
            "address_2": "STE. 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312407",
            "telephone_number": "702-636-9357",
            "fax_number": "702-868-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 CAMINO AL NORTE",
            "address_2": "STE. 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312407",
            "telephone_number": "702-636-9357",
            "fax_number": "702-868-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & R RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "KULINDA",
        "authorized_official_middle_name": "DANNIELLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-636-9357",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Life Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.