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IMPACT WELLNESS CENTER,INC
NPI 1902319411
Community/Behavioral Health in Las Vegas, NV

Active since November 07, 2017
8991 W FLAMINGO RD STE 105, LAS VEGAS, NV 89147(702) 586-5001(702) 664-0508 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Impact Wellness Center,inc NPPES

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

IMPACT WELLNESS CENTER,INC (NPI 1902319411) is a healthcare organization registered as a community/behavioral health in Las Vegas, Nevada and active in the NPI registry since November 2017. The organization lists Carolyn Pridgeon, President/ Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902319411
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameIMPACT WELLNESS CENTER,INC
Location Address8991 W FLAMINGO RD STE 105Las Vegas, NV 89147-0439
Mailing Address8991 W Flamingo Rd Ste 105Las Vegas, NV 89147-0439 · (702) 586-5001 · Fax (702) 664-0508
Phone(702) 586-5001
Fax(702) 664-0508
Organization SubpartNo
Authorized OfficialCarolyn PridgeonPresident/ Executive Director · (702) 586-5001
Enumeration DateNovember 7, 2017
✔ NPI 1902319411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
8991 W FLAMINGO RD STE 105, Las Vegas, NV 89147
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Other Providers at the Same Location NPPES 2

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

JESSIE M CARACCIOLO
Community Health Worker
8991 W FLAMINGO RD STE 105
LAS VEGAS, NV 89147
Clark County (702) 586-5001
TAMMY RENEE JACKSON
Community Health Worker
8991 W FLAMINGO RD STE 105
LAS VEGAS, NV 89147
Clark County (702) 586-5001

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 Impact Wellness Center,inc's NPI number?

The NPI number for Impact Wellness Center,inc is 1902319411. It was assigned to this organization in the NPPES registry on November 7, 2017.

Where is Impact Wellness Center,inc located?

Impact Wellness Center,inc is located at 8991 W Flamingo Rd Ste 105, Las Vegas, NV 89147. The listed phone number is (702) 586-5001.

What is Impact Wellness Center,inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Impact Wellness Center,inc was last updated on November 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.