Healthcare Provider Details

I. General information

NPI: 1528830239
Provider Name (Legal Business Name): POSITIVE PATHWAYS MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8955 S PECOS RD STE 1B
HENDERSON NV
89074-7157
US

IV. Provider business mailing address

8955 S PECOS RD STE 1B
HENDERSON NV
89074-7157
US

V. Phone/Fax

Practice location:
  • Phone: 702-472-7445
  • Fax: 800-306-1747
Mailing address:
  • Phone: 702-472-7445
  • Fax: 800-306-1747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RYAN RATHEAL
Title or Position: OWNER
Credential: APRN
Phone: 801-707-0963