MEDICARE: HERO'S JOURNEY, INC

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	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1083946875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERO'S JOURNEY, INC

Provider Business Mailing Address
First Line	:	4612 EVAN RIDGE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-1624
Country	:	US
Telephone Number	:	702-375-1488
Fax Number	:

Provider Business Practice Location Address
First Line	:	7381 PRAIRIE FALCON RD
Second Line	:	SUITE 140
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0811
Country	:	US
Telephone Number	:	702-375-9235
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RAY TIPPETTS
Credential	:
Telephone Number	:	702-375-1488

Provider Enumeration Date	:	02/04/2010
Last Update Date	:	02/04/2010

Similar Medicare Providers

1003822081 — MR. DAVID ALEXANDER STURGEON CSW-INTERN
Practice Location Address:

7381 PRAIRIE FALCON RD
LAS VEGAS, NV
89128-0811

Practice Phone: 702-468-1321
Practice Fax: 702-396-0015

1457473258 — MS. AMY BERRY M.ED.
Practice Location Address:

7381 PRAIRIE FALCON RD , SUITE 110
LAS VEGAS, NV
89128-0811

Practice Phone: 702-646-5437
Practice Fax:

1811180243 — DANELLE MONICA GUILLEN
Practice Location Address:

7381 PRAIRIE FALCON RD
LAS VEGAS, NV
89128-0811

Practice Phone: 702-376-8322
Practice Fax:

1033347745 — TALON PEAK YOUTH AND FAMILY COUNSELING
Practice Location Address:

7381 PRAIRIE FALCON RD , SUITE 130
LAS VEGAS, NV
89128-0811

Practice Phone: 702-375-1488
Practice Fax: 702-396-4193

1679803746 — MRS. KRISHELL L HADSELL CPC
Practice Location Address:

7381 PRAIRIE FALCON RD , #120
LAS VEGAS, NV
89128-0811

Practice Phone: 702-241-1249
Practice Fax:

1144539735 — MS. ARMANDA DAWN MIRANDA BS
Practice Location Address:

7381 PRAIRIE FALCON RD
LAS VEGAS, NV
89128-0811

Practice Phone: 702-646-5437
Practice Fax:

Directions to “HERO'S JOURNEY, INC ” 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.