MEDICARE: RESILIENCE COMMUNITY WELLNESS CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1063815074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENCE COMMUNITY WELLNESS CENTER

Provider Business Mailing Address
First Line	:	PO BOX 335993
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89033-5993
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5185 CAMINO AL NORTE
Second Line	:	130
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-2415
Country	:	US
Telephone Number	:	702-245-7524
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. CARLA LEWIS
Credential	:
Telephone Number	:	702-245-7524

Provider Enumeration Date	:	10/03/2014
Last Update Date	:	10/03/2014

Similar Medicare Providers

1245526078 — NEVADA COMMUNITY ASSOCITES, INC.
Practice Location Address:

5185 CAMINO AL NORTE , SUITE #130
NORTH LAS VEGAS, NV
89031-2415

Practice Phone: 702-522-9962
Practice Fax:

1881979219 — MRS. BEVERLY ANN HILLBRADSHAW MS., LADC
Practice Location Address:

5185 CAMINO AL NORTE , SUITE 130
NORTH LAS VEGAS, NV
89031-2415

Practice Phone: 702-522-9962
Practice Fax:

1982079919 — GLADYS TENA
Practice Location Address:

5185 CAMINO AL NORTE , SUITE 130
NORTH LAS VEGAS, NV
89031-2415

Practice Phone: 702-522-9962
Practice Fax: 702-522-9967

1225464779 — BRIANISHA MARIA JORDAN
Practice Location Address:

5185 CAMINO AL NORTE , SUITE 120
N LAS VEGAS, NV
89031-2415

Practice Phone: 702-600-9433
Practice Fax:

1912860909 — VALDEMAR VILLASENOR ALVAREZ
Practice Location Address:

2415 REYNOLDS AVE STE 101
NORTH LAS VEGAS, NV
89030-7279

Practice Phone: 702-906-1999
Practice Fax:

1205109733 — DARRIN DEVOREE BANG DC
Practice Location Address:

2415 LAS VEGAS BLVD N STE 105
NORTH LAS VEGAS, NV
89030-5861

Practice Phone: 702-382-3400
Practice Fax:

Directions to “RESILIENCE COMMUNITY WELLNESS CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.