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STATE OF NEVADA - DWTC
NPI 1275600629
Psychiatric Hospital in Las Vegas, NV

Active since November 29, 2006
6171 W CHARLESTON BLVD BLDG 17, LAS VEGAS, NV 89146(702) 486-8900(702) 486-6307 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About State Of Nevada - Dwtc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE OF NEVADA - DWTC (NPI 1275600629), doing business as Desert Willow Treatment Center, is a healthcare organization registered as a psychiatric hospital in Las Vegas, Nevada and active in the NPI registry since November 2006. The organization lists Sandra Stone, Management Analyst 4, as its authorized official.

NPPES Registry Identity

NPI1275600629
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameSTATE OF NEVADA - DWTC
Location Address6171 W CHARLESTON BLVD BLDG 17Las Vegas, NV 89146-1126
Mailing Address500 E Warm Springs RdLas Vegas, NV 89119-4344 · (702) 486-8226 · Fax (702) 486-6057
Phone(702) 486-8900
Fax(702) 486-6307
Organization SubpartNo
Authorized OfficialSandra StoneManagement Analyst 4 · (702) 486-8226
Enumeration DateNovember 29, 2006
Last NPPES UpdateFebruary 13, 2025
NPPES CertifiedFebruary 13, 2025
✔ NPI 1275600629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
6171 W CHARLESTON BLVD BLDG 17, Las Vegas, NV 89146
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Other Names 2

Doing Business AsDesert Willow Treatment Center
Doing Business AsState Of Nevada

Other Identifiers 1

Medicaid001302200NV

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNA ASHLEY GRANT LCSW
Social Worker (Clinical)
6171 W CHARLESTON BLVD BLDG 17
LAS VEGAS, NV 89146
Clark County (702) 486-8999
CHARLES ANTHONY MROZEK LCPC
Counselor (Professional)
6171 W CHARLESTON BLVD BLDG 17
LAS VEGAS, NV 89146
Clark County (027) 343-9224
KEVIN REYES
Psychiatry & Neurology (Psychiatry)
6171 W CHARLESTON BLVD BLDG 17
LAS VEGAS, NV 89146
Clark County (702) 670-0588
DR. GARGI R. TRIVEDI MD
Psychiatry & Neurology (Psychiatry)
6171 W CHARLESTON BLVD BLDG 17
LAS VEGAS, NV 89146
Clark County (702) 486-8900
STATE OF NEVADA
Psychiatry & Neurology (Psychiatry)
6171 W CHARLESTON BLVD BLDG 17
LAS VEGAS, NV 89146
Clark County (702) 486-8900
DR. DEEPA HASIJA M.D.
Psychiatry & Neurology (Psychiatry)
6171 W CHARLESTON BLVD BLDG 17
LAS VEGAS, NV 89146
Clark County (702) 582-8705
STATE OF NEVADA - DWTC
Psychiatric Residential Treatment Facility
6171 W CHARLESTON BLVD BLDG 17
LAS VEGAS, NV 89146
Clark County (702) 486-6100
WACONDA JEANENE ALVAREZ
Social Worker (Clinical)
6171 W CHARLESTON BLVD BLDG 17
LAS VEGAS, NV 89146
Clark County (702) 486-7007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Nevada - Dwtc's NPI number?

The NPI number for State Of Nevada - Dwtc is 1275600629. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is doing business as Desert Willow Treatment Center and State of Nevada.

Where is State Of Nevada - Dwtc located?

State Of Nevada - Dwtc is located at 6171 W Charleston Blvd Bldg 17, Las Vegas, NV 89146. The listed phone number is (702) 486-8900.

What is State Of Nevada - Dwtc's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

When was this NPI record last updated?

The NPPES record for State Of Nevada - Dwtc was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.