WHEATLEY DE FORGE LLC (NPI# 1487205761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487205761 |
| Entity Type | Organization |
| Organization Name | WHEATLEY DE FORGE LLC |
| Practice Address |
4550 W Oakey Blvd Ste 101 Las Vegas NV 89102-1506 |
| Mailing Address |
2620 Regatta Dr Ste 102 Las Vegas NV 89128-6892 |
| Practice Telephone | 7027789875 |
| Practice Fax Number | 7027789863 |
| Mailing Telephone | 7027789875 |
| Mailing Fax Number | 7027789875 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | MR. WARREN JOHN WHEATLEY (OWNER / CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7022502520 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| INDEPENDENT COUNSELORS OF LAS VEGAS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104326438 | Wheatley De Forge LLC | Social Worker | 2620 Regatta Dr Ste 102, Las Vegas, NV 89128-6892 | 2018-02-13 |
| Street Address |
4550 W OAKEY BLVD STE 101 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780181933 | Enier Agramonte - Tellez | Technician | 4550 W Oakey Blvd Ste 101, Las Vegas, NV 89102-1506 | 2018-04-12 |
| 1851859813 | Catalina Gonzalez | Technician | 4550 W Oakey Blvd Ste 101, Las Vegas, NV 89102-1506 | 2019-03-08 |
| 1861956625 | Angela Portillo | Technician | 4550 W Oakey Blvd Ste 101, Las Vegas, NV 89102-1506 | 2019-01-25 |
| 1083187744 | Yolanda Ramirez | Technician | 4550 W Oakey Blvd Ste 101, Las Vegas, NV 89102-1506 | 2019-01-05 |
| 1609349364 | Antoie Virgil | Technician | 4550 W Oakey Blvd Ste 101, Las Vegas, NV 89102-1506 | 2019-01-05 |
| 1740753490 | Chokchai Tungkitkancharoen | Technician | 4550 W Oakey Blvd Ste 101, Las Vegas, NV 89102-1506 | 2019-01-05 |
| 1710450465 | Malinda Walker | Technician | 4550 W Oakey Blvd Ste 101, Las Vegas, NV 89102-1506 | 2019-01-05 |
| 1467924738 | Janette Alcala | Technician | 4550 W Oakey Blvd Ste 101, Las Vegas, NV 89102-1506 | 2018-12-26 |
| 1518439090 | Maria Aguiar | Technician | 4550 W Oakey Blvd Ste 101, Las Vegas, NV 89102-1506 | 2018-12-21 |
| 1285104273 | Regina Rose Thompson | Technician | 4550 W Oakey Blvd Ste 101, Las Vegas, NV 89102-1506 | 2018-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1700495884 | Fmt Behavioral Health Services | Clinic/Center | 4170 S Decatur Blvd Ste A6, Las Vegas, NV 89103-5862 | 2020-07-24 |
| 1962011049 | Nevada Psychotherapy Practice LLC | Clinic/Center | 8766 S Maryland Pkwy Ste 105, Las Vegas, NV 89123-6701 | 2020-07-24 |
| 1346858024 | Fairclough Consulting Services, LLC | Clinic/Center | 9224 Tudor Park Pl, Las Vegas, NV 89145-8726 | 2020-07-17 |
| 1841818457 | Wellness Foundation | Clinic/Center | 9850 S Maryland Pkwy # 5-371, Las Vegas, NV 89183-7146 | 2020-07-09 |
| 1225656358 | Behavioral and Health Management LLC | Clinic/Center | 1500 E Tropicana Ave Ste 155, Las Vegas, NV 89119-6516 | 2020-07-06 |
| 1366069312 | Holding Onto Hope L.l.c | Clinic/Center | 2725 W Wigwam Ave Apt 2108, Las Vegas, NV 89123-6611 | 2020-06-25 |
| Find all providers in LAS VEGAS | ||||
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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.