Healthcare Provider Details

I. General information

NPI: 1073183125
Provider Name (Legal Business Name): BETTER THOUGHTS TRANSITIONAL LIVE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9578 BIG MAN ST
LAS VEGAS NV
89123-7603
US

IV. Provider business mailing address

5052 S JONES BLVD STE 130
LAS VEGAS NV
89118-0567
US

V. Phone/Fax

Practice location:
  • Phone: 702-331-0067
  • Fax:
Mailing address:
  • Phone: 702-444-0375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: RODNIQUE STOKES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 702-986-1343