OLIVE BRANCH MENTORING (NPI# 1912426909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912426909 |
| Entity Type | Organization |
| Organization Name | OLIVE BRANCH MENTORING |
| Practice Address |
5548 Ayers Cliff Street North Las Vegas NV 89081 |
| Mailing Address |
5548 Ayers Cliff St North Las Vegas NV 89081-2462 |
| Practice Telephone | (702) 738-9589 |
| Mailing Telephone | 7027389589 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Authorized Official Name | TIAIJAH S FELTUS-WIMBERLY (OWNER) |
| Authorized Official Telephone | 7027389589 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NV20171578899 | NV | Agencies |
| Street Address |
5548 AYERS CLIFF STREET |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144879719 | Saniya Dion Wilson | Technician | 4828 Celsion Rock Street, Las Vegas, NV 89081 | 2019-09-06 |
| 1932609526 | Victoria Lashelle Jones | Chore Provider | 3821 Pecos Park Ave, Las Vegas, NV 89081 | 2018-02-20 |
| 1912414483 | Ar Complete Homecare, Inc | Chore Provider | 1127 Emerald Stone Ave, N Las Vegas, NV 89081 | 2018-01-05 |
| 1558872986 | Noemi Cabrera | Nurse Practitioner | 6121 Broccoli St, N. Las Vegas, NV 89081 | 2017-10-12 |
| 1336689447 | Andrew Rooks | Student in an Organized Health Care Education/Training Program | 5005 Losee Road, 2016, North Las Vegas, NV 89081 | 2017-03-08 |
| 1932649464 | Sheila Flipse | Counselor | 713 Mission Del Oro Avenue, North Las Vegas, NV 89081 | 2017-03-02 |
| 1376090894 | Rebuilding To Success | Community/Behavioral Health | 3212 Carolina Moon Ave, North Las Vegas, NV 89081 | 2016-09-01 |
| 1447602164 | Courage-cynthia Ugbodu | Counselor | 5424 Talmo St, North Las Vegas, NV 89081 | 2016-07-06 |
| 1710338686 | Dejuan Peterson | Social Worker | 2825 Aspen Club Ave, North Las Vegas, NV 89081 | 2016-06-22 |
| 1154710705 | Kelley Ebell | Physical Therapy Assistant | 2641 Cattrack Ave, N Las Vegas, NV 89081 | 2015-01-21 |
| Find all providers in zip 89081 | ||||
| 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 |
|---|---|---|---|---|
| 1164020947 | Pathways Health Services | Community/Behavioral Health | 5813 Michael Dean St, North Las Vegas, NV 89081-4422 | 2020-10-13 |
| 1386241131 | Shawn Humphreys | Community/Behavioral Health | 3110 W Cheyenne Ave Ste 100, North Las Vegas, NV 89032-2254 | 2020-10-05 |
| 1013514165 | Grateful Guidance Center | Community/Behavioral Health | 1838 Giant Rock Pl, North Las Vegas, NV 89031-1671 | 2020-10-01 |
| 1447861919 | A Step Above Mental Health Services LLC | Community/Behavioral Health | 4325 W Rome Blvd Apt 1018, North Las Vegas, NV 89084-2112 | 2020-08-10 |
| 1023628047 | Essential Mindz, LLC | Community/Behavioral Health | 5546 Camino Al Norte Ste 2-304, North Las Vegas, NV 89031-0805 | 2020-08-04 |
| 1558985432 | 4 Lucky Charms LLC | Community/Behavioral Health | 4224 Seclusion Bay Ave, North Las Vegas, NV 89081-6867 | 2020-06-05 |
| 1952936296 | All Around Change LLC | Community/Behavioral Health | 2124 Leatherbridge Ct, North Las Vegas, NV 89081-3500 | 2020-03-06 |
| 1457985962 | Khalifah Holdings Incorporated | Community/Behavioral Health | 2616 Losee Rd Ste 11, North Las Vegas, NV 89030-4128 | 2020-02-24 |
| 1366075798 | We R Family, LLC | Community/Behavioral Health | 2312 Seco Adobe Cir Apt B, North Las Vegas, NV 89030-8182 | 2020-02-13 |
| 1497397301 | Press On LLC | Community/Behavioral Health | 5712 Saint Elias St, North Las Vegas, NV 89081-2427 | 2019-10-11 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89081 |
Please comment or provide details below to improve the information on OLIVE BRANCH MENTORING.
| 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.