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NPI Code Detail

MEDICARE: HEALTHY OPTIONS COMMUNITY WELLNESS CENTER

MEDICARE: HEALTHY OPTIONS 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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2106H00000XMarriage & Family TherapistMI0717NV
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1376990945
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY OPTIONS COMMUNITY WELLNESS CENTER
Provider Business Mailing Address
First Line : 6935 ALIANTE PKWY
Second Line : NUM 104-169
City : NORTH LAS VEGAS
State : NV
Zip : 89084-5818
Country : US
Telephone Number : 702-204-0150
Fax Number : 702-586-8207
Provider Business Practice Location Address
First Line : 6935 ALIANTE PKWY
Second Line : NUM 104-169
City : NORTH LAS VEGAS
State : NV
Zip : 89084-5818
Country : US
Telephone Number : 702-204-0150
Fax Number : 702-586-8207
Authorized Official
Title or Position : PRESIDENT/SECRETARY
Name : DR. TONEY W STEPHENSON
Credential : PSYD
Telephone Number : 702-204-0150
Provider Enumeration Date : 05/24/2016
Last Update Date : 05/24/2016

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Directions to “HEALTHY OPTIONS COMMUNITY WELLNESS CENTER ” Practice Location

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