Healthcare Provider Details

I. General information

NPI: 1689470643
Provider Name (Legal Business Name): PARSON'S PLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6871 W CHARLESTON BLVD
LAS VEGAS NV
89117-1600
US

IV. Provider business mailing address

3053 W CRAIG RD # E210
NORTH LAS VEGAS NV
89032-5124
US

V. Phone/Fax

Practice location:
  • Phone: 702-327-1961
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: APRIL HEWITT
Title or Position: EXECUTIVE OFFICER
Credential:
Phone: 725-261-7390