Healthcare Provider Details
I. General information
NPI: 1326768672
Provider Name (Legal Business Name): INFINITE WELLNESS AND RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/29/2022
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6671 LAS VEGAS BLVD S UNIT 210
LAS VEGAS NV
89119-3289
US
IV. Provider business mailing address
4782 SAIL POINT ST
LAS VEGAS NV
89147-8127
US
V. Phone/Fax
- Phone: 954-736-5495
- Fax: 954-736-5679
- Phone: 954-736-5495
- Fax: 954-736-5679
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JASON
CARL
WEED
Title or Position: OWNER
Credential: LMHC, LCPC
Phone: 561-764-7661