Healthcare Provider Details

I. General information

NPI: 1568390052
Provider Name (Legal Business Name): AVERY HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 COTTAGE WAY STE 19
SACRAMENTO CA
95825-1226
US

IV. Provider business mailing address

7139 S DURANGO DR UNIT 208
LAS VEGAS NV
89113-2080
US

V. Phone/Fax

Practice location:
  • Phone: 702-884-3133
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN ARNOLD
Title or Position: OWNER
Credential: LCSW
Phone: 702-884-3133