WISHING WELL CHILD AND FAMILY THERAPY LLC (NPI# 1356616262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356616262 |
| Entity Type | Organization |
| Organization Name | WISHING WELL CHILD AND FAMILY THERAPY LLC |
| Practice Address |
1798 Bridlegate Ave Henderson NV 89012-3253 |
| Practice Telephone | 7022343559 |
| Mailing Telephone | 7022343559 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |
| Authorized Official Name | QINGFANG ZHANG (OWNER) |
| Authorized Official Telephone | 7022343559 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6167-C | NV | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1798 BRIDLEGATE AVE |
| City | HENDERSON |
| State | NV |
| Zip Code | 89012-3253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610518 | Girisgen & Kopolow Od PC | Optometrist | 75 S Valle Verde Pkwy, Ste 120, Henderson, NV 89012 | 2018-12-16 |
| 1821569138 | Fife Dermatology, P.C. | Dermatology | 1736 W. Horizon Ridge Parkway, Henderson, NV 89012 | 2018-12-13 |
| 1487153383 | Jenny Hawkins | Speech-Language Pathologist | 1290 Sage Green Ct., Henderson, NV 89012 | 2018-02-06 |
| 1609308428 | Jovan Paris Trevino | Counselor | 607 Backbone Mountain Dr., Henderson, NV 89012 | 2017-03-30 |
| 1881144947 | Rise Center for Recovery | Community/Behavioral Health | 1681 W. Horizon Ridge Pkwy, Henderson, NV 89012 | 2016-10-12 |
| 1629524004 | Helping Hands Support Services LLC | Community/Behavioral Health | 245 S Gibson Road, 2101, Henderson, NV 89012 | 2016-08-26 |
| 1336594654 | Southwest Integrated Care Services, LLC | Behavioral Analyst | 170 S. Green Valley Pkwy Suite 300, Henderson, NV 89012 | 2016-04-25 |
| 1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
| 1407253032 | Yah Aggre | Behavioral Analyst | 1318 Crystal Hill Ln, 1, Henderson, NV 89012 | 2014-11-25 |
| 1710393392 | Optum Clinic Pa | Clinic/Center | 69 S Valle Verde Dr., Henderson, NV 89012 | 2014-07-03 |
| Find all providers in zip 89012 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305231 | Tony Jones | Rehabilitation Practitioner | 80 S Gibson Rd Apt 2215, Henderson, NV 89012-2441 | 2020-07-31 |
| 1932727765 | Orlando Centeno Ramos | Rehabilitation Practitioner | 430 Federal St, Henderson, NV 89015-7323 | 2020-07-08 |
| 1922634880 | Jessica Joy Siewert | Rehabilitation Practitioner | 250 Autumn Eve St, Henderson, NV 89074-7837 | 2020-03-22 |
| 1427681048 | Leigh M Mcginest | Rehabilitation Practitioner | 1050 Whitney Ranch Dr Apt 3412, Henderson, NV 89014-3049 | 2020-02-21 |
| 1801438155 | Nicole Welch | Rehabilitation Practitioner | 819 Lauren Patt Ct, Henderson, NV 89014-2589 | 2019-10-08 |
| 1891345526 | Blake Anthony Spataro | Rehabilitation Practitioner | 1925 Davina St, Henderson, NV 89074-1034 | 2019-09-15 |
| 1558910562 | Antwahn Mack Taylor | Rehabilitation Practitioner | 1644 Ravanusa Dr, Henderson, NV 89052-4071 | 2019-09-11 |
| 1740844117 | Samantha Anne Mcdaniel | Rehabilitation Practitioner | 67 Star Dunes St, Henderson, NV 89012-2637 | 2019-04-30 |
| 1801353925 | Lamika Barton | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2019-02-25 |
| 1053889154 | Jessy Hernandes | Rehabilitation Practitioner | 73 Constitution Ave, Henderson, NV 89015-5782 | 2018-11-06 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.