Healthcare Provider Details

I. General information

NPI: 1316528391
Provider Name (Legal Business Name): MRS. JORDIN ALEX HODSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JORDIN ALEX ADAMS

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8215 S EASTERN AVE STE 215
LAS VEGAS NV
89123-2524
US

IV. Provider business mailing address

1010 SILVER RETREAT CT
HENDERSON NV
89002-9280
US

V. Phone/Fax

Practice location:
  • Phone: 725-243-6644
  • Fax:
Mailing address:
  • Phone: 801-750-1502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCI5688
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: