Power Center Community Development Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

POWER CENTER COMMUNITY DEVELOPMENT CORPORATION

Doing business as

Whole & Healthy Life Management Services

Practice address

3420 Lacebark Pine St
Las Vegas, NV 89129-8142

Phone

(702) 592-4814

NPI assigned

Dec 14, 2020

Organization subpart

No

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

Authorized official

Name

Anthony Harris, LCSW, LADCNPI 1407046535

Title

Clinical Director

Phone

(702) 592-4814

Specialties & licenses 1

Addresses

Other names 1

• Whole & Healthy Life Management Services Doing business as

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.

• Anthony Fitzgerald Harris, LSW LADC CSWI MSW

  • Social Worker
  • Las Vegas, NV
  • NPI 1407046535

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1932795911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 LACEBARK PINE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298142",
            "telephone_number": "702-592-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 LACEBARK PINE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298142",
            "telephone_number": "702-592-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER CENTER COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "702-592-4814",
        "authorized_official_credential": "LCSW, LADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole & Healthy Life Management Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tasheka Conella Powell, APRN
• Tracey Powell
• Trinine Denise Powell
• Tybreanna Powell
• William Henry Powell Jr.
• Power in the Pelvis LLC
• Jennifer Power
• John Power
• Powered by Angels Nemt LLC
• Powerful Minds Mental Health LLC

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.