Healthcare Provider Details

I. General information

NPI: 1104216423
Provider Name (Legal Business Name): RAHEL YOHNNES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2015
Last Update Date: 09/11/2025
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2181 NORWEGIAN WOOD LN
HENDERSON NV
89074-5859
US

IV. Provider business mailing address

3365 WYNN RD STE F
LAS VEGAS NV
89102-8202
US

V. Phone/Fax

Practice location:
  • Phone: 702-836-3442
  • Fax:
Mailing address:
  • Phone: 702-331-4161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: