RAELARA TILDEN, LMFT INC (NPI# 1851837801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851837801 |
| Entity Type | Organization |
| Organization Name | RAELARA TILDEN, LMFT INC |
| Other Organization Name | TRANQUIL LIFE FAMILY INNOVATIONS |
| Practice Address |
2725 S Jones Blvd Suite 109 Las Vegas NV 89146-5667 |
| Mailing Address |
1355 Silver Sierra St Las Vegas NV 89128-2159 |
| Practice Telephone | 7025171519 |
| Practice Fax Number | 7028292876 |
| Mailing Telephone | 7025171519 |
| Mailing Fax Number | 7028292876 |
| Enumeration Date | 2017-01-15 |
| Last Update Date | 2017-01-15 |
| Authorized Official Name | MRS. RAELARA TILDEN (PRESIDENT/CLINICAL SUPERVISOR) |
| Authorized Official Telephone | 7025171519 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MI0591 | NV | Agencies |
| Other Name | Type Code |
|---|---|
| Tranquil Life Family Innovations | Doing Business As Name - Organization |
| Street Address |
2725 S JONES BLVD SUITE 109 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-5667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821062324 | David Earl Linden | Psychiatry & Neurology | 2725 S Jones Blvd, Suite 104, Las Vegas, NV 89146-5667 | 2006-02-14 |
| 1356904031 | Trinay Laverne Hogan | Nurse Practitioner | 2725 S Jones Blvd, Las Vegas, NV 89146 | 2019-04-17 |
| 1801387717 | Paulina Awuah | Community/Behavioral Health | 2725 S Jones Blvd, Las Vegas, NV 89146-5667 | 2018-05-25 |
| 1336660018 | Sahara Gabales | Community/Behavioral Health | 2725 S Jones Blvd, Las Vegas, NV 89146-5667 | 2017-07-03 |
| 1467984245 | Daniel Arriola | Community/Behavioral Health | 2725 S Jones Blvd, Ste 109, Las Vegas, NV 89146-5667 | 2017-03-30 |
| 1073051876 | Quanda Quarles-brinson | Behavioral Analyst | 2725 S Jones Blvd, Las Vegas, NV 89146-5667 | 2017-02-01 |
| 1194171165 | Vilisia Ann Coleman | Social Worker | 2725 S Jones Blvd, Suite 106, Las Vegas, NV 89146-5667 | 2016-05-10 |
| 1841645934 | Psychiatric Management, LLC | Psychiatry & Neurology | 2725 S Jones Blvd, Suite 104, Las Vegas, NV 89146-5667 | 2016-04-26 |
| 1669840203 | Ancy Tom | Nurse Practitioner | 2725 S Jones Blvd, Ste 104, Las Vegas, NV 89146-5667 | 2015-09-14 |
| 1346618154 | Monique Provencio | Community/Behavioral Health | 2725 S Jones Blvd, Suite 109, Las Vegas, NV 89146-5667 | 2015-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698556 | Therapy of Southern Nevada | Community/Behavioral Health | 4100 W Flamingo Rd Ste 1442, Las Vegas, NV 89103-3924 | 2020-10-30 |
| 1114527355 | Nevada Behavioral Services | Community/Behavioral Health | 2880 E Flamingo Rd Ste G, Las Vegas, NV 89121-5223 | 2020-10-27 |
| 1295341733 | P Saint Roc LLC | Community/Behavioral Health | 1700 Alta Dr Apt 2124, Las Vegas, NV 89106-4174 | 2020-09-21 |
| 1609482181 | Kristie Leialoha Dias | Community/Behavioral Health | 9986 Catseye Cove Ct, Las Vegas, NV 89183-7203 | 2020-09-19 |
| 1326653551 | Serene Behavioral Health LLC | Community/Behavioral Health | 5800 W Charleston Blvd Apt 2051, Las Vegas, NV 89146-1297 | 2020-09-14 |
| 1124630678 | Robert Thomas Marbury IIi | Community/Behavioral Health | 501 S Rancho Dr Ste B10, Las Vegas, NV 89106-4830 | 2020-08-17 |
| 1124637335 | Monica Petroff | Community/Behavioral Health | 3540 W Sahara Ave #e6, Las Vegas, NV 89102-9253 | 2020-07-24 |
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1023635273 | Greatness Through Wellness Services | Community/Behavioral Health | 2350 S Jones Blvd Ste 206mon85, Las Vegas, NV 89146-3103 | 2020-07-02 |
| 1568088391 | Bridgeway Family Services LLC | Community/Behavioral Health | 11186 Fort Bowie St, Las Vegas, NV 89179-1223 | 2020-06-17 |
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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.