Healthcare Provider Details

I. General information

NPI: 1558039370
Provider Name (Legal Business Name): A HELPING HAND UP NEVADA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2021
Last Update Date: 09/06/2021
Certification Date: 09/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2881 S VALLEY VIEW BLVD STE 1
LAS VEGAS NV
89102-0145
US

IV. Provider business mailing address

2881 S VALLEY VIEW BLVD STE 1
LAS VEGAS NV
89102-0145
US

V. Phone/Fax

Practice location:
  • Phone: 702-922-7015
  • Fax: 702-922-6600
Mailing address:
  • Phone: 702-922-7015
  • Fax: 702-922-6600

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: MRS. MARY COLLEEN O'CALLAGHAN-MIELE
Title or Position: PRINCIPAL OFFICER
Credential:
Phone: 702-922-7015